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, <br /> , <br /> �� ;=,.,r-, ,, �.-�:->,. <br /> `\\\��� W. D. Fo�:n'� I500 d-I-17 L.P. , .. .. <br /> � CITY OF EVERET'i'a=Water Department <br /> Applicatiori for Water <br /> All blanks mus[be filled in or cro�sed out <br /> ��/ 6 �i <br /> F.verett. _'. _._'.____'___.._ '_._'..._.__... ..191 ._4�_ <br /> TO 'PHE SUPERINTENDEN'1'OF 7'Hli WATIiR DEPAR7'MF.N7', <br /> CPI'1'OF F9ERETT: <br /> I hrreby npply for tLe use of water in accordance with ihe rulrs:vd rrgida� <br /> tions of The Warer Deputm_nt,tnr purposes and tixtures stated )elo�v. <br /> DurinR[he[ime �hat any nf Ihe�vater mains may be taken up by reason u( <br /> any improvements authorized by the City of Evcret�,in nr ot an�� slrect �rt allcy in <br /> w•hich Ihey may have been I�id, the Citp will not 6e requircd to lurnish water durinc <br /> �he proKress ot eu[h improvements tn any cnnsumer wha�c- suppl�� may lhus be cut <br /> o(f,or be liahlc tor any damaK�'s for its lailurc so tn dn. <br /> .„ <br /> ADPlicntinn No.___.�^__�l.•.J__.____'- <br /> Blxk ---"_ --' -�---.Lo�t---,'l- 7�--"�--�- -, Add---. _ .. --� �---.- . _. <br /> /O_�_..�._._ r `-�`i'.�_i-Suee� <br /> ?Io._.__ "'____."___ <br /> _.____ _'___________ _ _____.. ..._..__ __._'______'.' <br /> 'fhew•orktobecxccutedby__"_.__.__'_"___._. - _. .._.__.... Plumber . <br /> Stnlc 5ize of tap. ,.. . 1 <br /> �/� ' Tap ta be inscr�ed in Ihe main. :'.���.'_b'��-.. �� " � / <br /> . y� ___'_ f'%"t.� --�1"r\;i <br /> ____ ___Waterdnsel I,�<:��� '�� ` � ��'. <br /> I�','`'. \••,'C ` <br /> ---� �---Rnth � .��, �)/,�,� �I1���. ��,1 <br /> ' �1 <br /> _ Arinal � l �-'y)Il_—• '1 �. <br /> 1 ` <br /> ...Plain fauce� insiJc ;�� il <br /> _'_. . � rt ��� � <br /> _._SiAe walk washer ��� /��/ �i, <br /> . __�.._Hnx bib oulside �'\ � Y�- -��'"', l��jY <br /> .__._ �: �� � ��vf <br /> .._. ._....Nosebib(orbirildinKPurpuscs :`r"�����.�� / <br /> _..______.Hnsebibinsidc � �.:: --.'.. '�"�� <br /> _'__'.___Hib(orstablecontaininK�------�--`tall.._ '___ <br /> ..__._._"Num6er nt persans in famil�• <br /> ._/-.f-____Number u(rnnms in Uuildinq <br /> 'PhePremisesamtobeusedasa_.._ . _._-__..._._ ._'_--._. _.._ - ._.. <br /> "1'hc o�ener of the premiws is ___.'.-_____.-._..___________.___.-_'...-_. <br /> TheaKentis ."_' . __.._.________._ .. _._ ____'___. .. .___._'__ <br /> I'his applicalion, although signed.shall nnt br bindiog upi,n the City, unlil ac <br /> cep�ed b}'The S�periniendent o(�he Wnter Ueparunrnt./� <br /> D� �"/l� �'Fll 4("_ A >licant � <br /> SiRr.rd ..'_"'__'_'_�"_"""- _" - "' PI <br /> � / <br /> 1aeVtecl rl.-" �i� ___19� Ry_ .. ' _ -i_ ._ .__________' <br /> �J Surnrintende^.i <br />