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.� - <br /> r: .� . _ - . . ' . <br /> .. �. . . <br /> W. D. Fom� a ISCO J-i-17 C.P. <br /> CITV OF EVERETT==Water Department <br /> Application for Water � <br /> All blanks must bc fili d in or crosscd aut <br /> Ecerett�._ __ ��_.-'__--_--7��- <br /> 'CO 'I'HE SUPBRINTEND1iN9'Oi�THL' WATER UIiPART�1EN7', � <br /> CITY OP E`/IiliEl'T: ' <br /> 1 hcreb9 apply f��r Ihc usc of���atcr in ��ccordmicc with ihc rules and regula- <br /> tiun:u(9'he W:�ter Depar[m+at, for purposes and tixtures st�ted belmv. <br /> Durin¢ the timc that ang o( tlre w'ater mains may hr taken up uy rcasnn uf <br /> :m>� imprnvcments nuthorized br the Ci�p nt Evenit,in m u( an>' strcet �tt ailep in <br /> w�hich they maY U:rve becn laid.the Ciq� w•ill not be requimil to (urnish waler durine . <br /> the proAmss u(such improvements tn any consumer ahrne suPP�Y �»�Y �hus be cul <br /> off.or b� li�blc for any damvJagc�Gtt its (ailure sn tu du. ��/� <br /> ApplicntinnNo._.�l-�/rJ"--r-- - <br /> ��' �' 7� Add_..__ __.__ <br /> y����: ..3 67_ .. - <br /> • -------- <br /> --- --- <br /> :v�._�Ba.Z _ -r�et�'�sv��i <br /> - - --... _ -- ----- - --- -- -- -- -- -- -- -- <br /> The �rurk tn be executed Up..-.--------'--- �' <br /> . ___._------------- Plumber <br /> Smte s.e t taP. � / O O � <br /> _..���Tap tn bc inseded in Uic main. � � <br /> __'._�'_'W mcr daset <br /> --_'!__-F3ath <br /> _____ .Urinal <br /> _____._._Plain faucet inside <br /> .. ._._____Side�+alk washer <br /> ___.._Ho•'c bib nutside ///'''''��� . <br /> _ '_ _ ._Ilosc bib G�r buildinK p��rPuse` �� , <br /> � / <br /> ___Ilosc bib insidc 7 . <br /> . ..stall___ __. � �� <br /> __"....._Ilibforstablecontaining__.— _- - <br /> .___/._____N'unber ot Perams in (amil>. <br /> ___ l7"'t:umbcr n(rooms in building <br /> 7'1 c Premises are to be used as n-. - . ,,��/7 - O <br /> 'PhcownerufthcPremisesis _---- - �"'"���--��------ - <br /> � �'hc aRent is ..__..___._-. _- _. _______ <br /> .__._._.'___.- __.___"'_"" <br /> ... •nis applicalion. allhough signeJ, shall not be biuding upnn ihe Cit}•, until ae <br /> ry 7'he SuperiNcnde ��t�i ����cr U�rtment. <br /> , <br /> � �1iLL___lil�!!�. -____"'_ApPlicant <br /> Signed___�_d �; - <br /> ` �..... <br /> �pcpa_ vr- - _2.3_�pT� �ty - <br /> {;��J-'`y---------Surc�ioimneri <br />