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r . <br />R'. U. Form � isco a-i-n c. P. <br />CITY OF EVERETT==W� ter Department <br />Application for Water <br />All blanks must be 511ed in or cros<rd ����t <br />___ <br />liventt... . '� .�- �_-_191]�� <br />TO TI11: SUPIiRIN'fh:NDIiN'I' OP THE WA'I'F.R DIiPAR7� IliN7'. <br />CI'fY OF H9ERF,TT: <br />1 here65 apply f��r the ��se uf �vater in accnrdance ��'ith the rules and regula- <br />i�. ,��i. o( "l'I�c \Va[cr Uzpartmznl, Lrc purP��ses :md fiztm'cs slnted below. <br />PurinK the time that any o! th�r ��'ater m:�ins may be taken up 6Y reason �f <br />;inc imP�"��vemenls authorized b> thr l'iU� of fecrett, in nr of an)' s�rect ��r �Ilc}• in <br />�rhicl� thep may have been laid. Om City ��•ill cot be nquirrd to furnish aater durin� <br />the Prn�ress nf such improvements tn an1' conswner a�hose supplY may thus be cut <br />n((. nr bc liablc (o� :mY ?dz�maScs (ur its L�ilurc .o U� �lu. <br />:\PVlicn�inn Nu..-e1-�-f �..___- c <br />1. .% C''_"AJJ._ <br />' <br />Blncl; __ . . .�.oL_..'_ _ _. _ <br />,_"'_ _ .. . � <br />�G �G_ ���._. 5�«,�� <br />�,,.__.�. ��.- � <br />- ---- <br />-- -- --.. <br />-- -------- -- <br />-- -- - -r— <br />l�tJ t�-._ ,rw - - <br />____ Plumber <br />'I'he a'urk to bc executed b)'- -_'-"-""_ -- <br />titntc si e �d taP. <br />� 7_.'Pnp tn be inserted in the main. <br />. . .'___ J_�1'atcrclo�et � -} �r io <br />'"_"�_ Aalh ` /� <br />---'--k- .Urinal <br />___"�`___Plain (aucet inside � <br />__�'_'_Sidc ��'�Ik �ca:;hcr <br />""�"'_Hnse bib uutside , <br />� <br />_ _ _ _ � _ _ _ . Hosc bib far buildinFt P�� ���^`�'' <br />___'t�_'._.Ilnse bib inside <br />�_:_slall. ��... <br />_"" k_'_'llib(urstablecunlnining__.. _- '- <br />a _.Numbrroi per���ns in f:nnily. <br />____-_ <br />._��' _ Nwnbcr of rnnnm in building <br />, <br />'fl:cpermisesaretobcusedasa. ._. ..�_�-w ...__---------- ------ <br />_...'___.. _. ___. ___.__.___ <br />':�hi u�onur uf lhe Dremises is -- , " / / / <br />ThcaKentis _._.__ .._����..G-i/.lj6v��__'_.___"___"_ <br />'Phis applic:�tinu, althnugh signed, shall nut bc binJing upun Ihc Cit)'. until ac <br />:eplcJ bp "fhe Sup�:riniendenl nf tlu• N,ler Uep�riment. <br />� i�� /-� <br />SiF:nrd__.__=-_l--�-�'%� �.,"�!�J�--�7._ ___ pplii�ant <br />A.replc.d.J���/l}' �.�'jp'i 13qfJ�T$,/y�� ""_/ <br />,/ ". -� i.rin��na.nt <br />/� <br />