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,� .,. . _ <br />-, <br />w. n. Fa�m � I500 �-I- V C. P, <br />CITV OF EVERETT==Water Department <br />Applicatic�n far W/,/ater <br />All blanls nmst bc fillcd in or crossc�t <br />Gvemtt..=/�o��_ '. ___._'___.1917..�.� <br />TO TI1E SUPfiRM7'ENDIiNT OF'I'llli N'A 1'IiR DCPAR7'NGN'I'. <br />crrr or r:7IiRE'1'T: <br />I hrreby apply tor the use nf �eater in accordance �citi� the rules :md reF.ula� <br />�i ��, nr 7'hr. Nater Uzpartment. fn: Durpnses :mJ (istures sla[ed 6cloe•. <br />UurinK Ihe timc ihal :mp oi Ihe watrr mains mar bc lalcen up by reason nf <br />:my imP���vrment; authnrized by tiir Ciq• ot L'veretr, in ur a( anp slrret ar alley m <br />whid� thPv rnr h�ve been I::id. the Cily w•iil not bc rcquirrd to fuinish water durinp . <br />tln: Prngres� af such imProvements to any conswner whase supplp may thus 6e cut <br />nlf. or 6c Iiablc for anyrd/am;�gcs (�oJr �}'�s O�ilure so to do. <br />Applirnlion No.._-J��� 7 <br />' __'_.._. <br />Rlock.._.�Q/_0'/ ____(�y�i�'���___�'/__ Add___"_ _"'.__'_'_' <br />Nu..._�6_�.�..-....`[_`_^'_`7�.__. __._�.Strccl <br />___-__._._.___._' _________________.__.__..._._________'_""""""_-. <br />'fhcurrktnbevsecutedhy_ ______________'..__ ._._.._....____ Plumber <br />Sta[e si e r.( tap. <br />.__�y'1'ap !o bc insrrted in t!:e mam. � �� <br />�;�> l <br />' _" -' L _ Na[er clos��, i <br />.__"L..-liath <br />_'_'_" .Urinal <br />� <br />__.___-Plnin faucc� insidc � <br />. . _.__".Sidc �calk aashcr <br />. _'--' __Ilose UiS outside <br />� _ _ _.. . _ Husc bib (or buiiding pnrpnses <br />""_"'__Ilosc bib insidc <br />� _____'.__,13iLfors[ablecontaining. __.__..stalL. ..____ <br />_. _ _. __./Number uf per<ans in (ainil�. <br />`/i <br />. ___. __Numbcr nf rnoms in building <br />9'heprcmisesare�tobeu;edasa.__...__.. _ ..__'-. <br />_ .__.__.___ _._ _._.. <br />'1'hru�cncroftheprrmi.�•sia _.__ ._.._ _._. <br />1'hc agent is . _ _ _ _ _ <br />7'his application. allhuu};h signcJ, shall nol bc 6in 1� iq>un thc City ..m[ii ao <br />� <br />cepted by'fhe Superinicndent o( the \Vnler Ue �a <br />Signed______._.._'___ ' /_ 1� ._'___.___Applicant <br />/ � <br />Acceptrd.��.L ._191� B' '�_: ' <br />� G�. - . ._.-.d�,<,i���:,.:.-�-- <br />