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,. . � � r %� r_ � <br />W. D. Fo:m 4 I500 �-I-17 G. P• <br />CITY OF EVERETT==\'Vater Department <br />Application f r Wa er <br />All 6lanks must bc 'n or ssed �� <br />� ___._'_ _. <br />(Q.� ��____..___l�_. <br />Iireretl." - _ __ _'-"' <br />Ti) THE SUPI'sRINTEKUIi\T `ITY''(!'WAERI T7';f'AKTh1IiN7'. <br />I hereby apP�° �'�r the ��se of �vater in attordance �cilh the rules and reguln- <br />tians u('1'he 1Vater U.�P��rtm fnr purPnscs and fixtures statcd beiaw•. <br />DurinK the time th:u .y ��i thc ��'�trr mains may be ��ken up by rcason o( <br />nny impruvcinents ���thoriud b. thc Citp i�( F:vcrett, in ��r uf an>' strcet �rt aIIeY in <br />a•hich thry �n:i7' have been I:�id, thi• Cit)� ��'ill nnt Uc re9��ired �o lurnish waler during <br />thc pm�ress �d sueh impruvemcnts t�� ��S eonsunu�r N�hosc supply m�Y dms bc eW <br />n((, or bc liablc for anv da� K3f�� ts L�ilure sn in du. <br />Applicntion Nn... _-----� '- - - <br />/, � � a � '__Add'-__ . .. <br />i7___ Lot.___'- . _.- -.- <br />lilncl: . �,--l- � � <br />_.___ <br />..>..- �_.� /�l.- _��, -- �....--..5�.��� <br />- ...___ <br />- -- <br />-- -- _- --- <br />- ---- - <br />'I'he work �n bc cxecutrn }'.----------- - <br />_ <br />..__.. .__._.- Plum cr <br />Slate izc o( taP. <br />-��+_"Tap to be inserted in the main. -�� /�- �� <br />�1'atcr cloect <br />._.___.13ath �: t-:'::.- �• <br />Urinal .�;�� " .. .".'�'4\ .. <br />H� <br />l <br />__ Plain f�ucet insidc f,���I �� ��'`' �y�,�.�. <br />_ Sidc walk w�ashcr '� ' � � � � � <br />� ) �` <br />_ _ __"_Husc bib nutsidc <br />-. _ _ __ _' _ _Ilusc bih for 6uildmg P��� POY14 <br />. _ _ _' _ _"Hosc bib insidc <br />-"'_. "_Bib for stable rnnlainin� _ . _..-- �-- <br />�__Numbcruf persons in family <br />_ _ _C`J___Nwa6cr a( ruoms in building <br />; �/� , r` I, � <br />` J f <br />\ ti�MP_��'�__ �'�'Vii <br />'Phe Uremiscs are to bc u=eJ as a----_�--'-----'--�-�- <br />..__...__.___._ ____.. <br />7'he nwner n! tLe premices �s _'__-. -�- <br />'_'_"._ '____"____ <br />.__.__.. -.. <br />"fhcaKenlis.___' . ............'_________'_..__ _._______ <br />_. _______. <br />'fhis a�,pliialinn. allhough signed. sh.11 nnl be binding upon ihe CiIY. until :�o <br />e;p�eJ by The Superintendent o( � ie Nntcr UeP��rnnen't./ <br />SiRncd_____�yYL(/L- VI�L��._.ApPlic:mt <br />_ /'___ <br />1` <br />> � <br />�} Bv. . � - <br />ArceVled. �.�-�_✓ __.l`Ja='.� . ,i'-�.,__"""__S�.�rnimen,;..�i <br />_� i i <br />��J— �L <br />