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� <br />W. 0. Fcrm a IaOb e-� �. L. Y. <br />CITY OF EVERETT==Water Departm�. <br />Application for Water <br />All 6lanks must be filled in or cri�se �t <br />Hvcrett..- 4�!�-=-=1- �- ' '_.' ____""___1�___ <br />TO THE SUPIiNINTEND1iNT OF THE WATER DEPARTMENT, <br />CI'PY OF E`JERETT: <br />! herchp apP�Y f�r the use of w�[er in nccurdance wi[h the rWes and regula• <br />tiu.is n( Thc Water Uzpartment. !ur purposes ond fiztures stated Lciow. <br />DurinR the time that any of thc �vater mains may hc taken up by reasun of <br />any imprnvements an[horized br lhe City of $verclt, iu ar n! nny sirccl or �Ilcp in <br />a•hich they may have been laid, the („!y will nnt Le required to lurmsh water during <br />the nrogress nf such imprm�ements tu any consumer ahnse supply may thus be cul <br />n(f. ur bc liable (m� anY ������Hyes (or ils (:�ihire so to do. <br />APplirntinn No..� V�_!�_. <br />� � � � <br />Rlock ' _.A_''_' Lnt'`."" ' Add__"'_'___'_"_" <br />�j� ) _�..___.�-/ <br />\o._.:j. — f'_.�T•�_ � �`�!�'�. Strcet <br />t-c <br />- -'- - "". -�.—'—'. <br />--'---�------- � ---------------------""-------'- "--'-"'-----� <br />The���orklobecxecutedbY---------"___.______.__. ___.____' Plumber <br />SIa3����t ta�. � / O Vr! <br />. Tap m bc in�erted in Ihc main. <br />___"'_'19alcr clnse[ <br />_� <br />; �� �.t (:..1.�`�•_ <br />._____�__.Bath �':^�':�..�"'� `...� <br />-- - .u���„i <br />________.Plain (aucet insidc <br />.. . _. _ _ _ Sidc u�alk w�ashrr <br />_._.___.._Ilnse hib uutside <br />. _ _ _ _' . _ _ . Hose bib (or buildinq purposes <br />._.._____.Ilose bib insidc <br />, , ��� <br />� ��,� ��(/�A1 � <br />���� � / 1.1!'Ii�\i <br />� f�, <br />.___'_"[3ibfursWbicconlainiug.__._._... .stall___._'`+��` 4; � . � <br />^�+:., . _ _� ...' <br />..__.r.�__'.Numbcruf penons in iami�y <br />_.__!___.Number nf ranms in buildinq <br />Thepremisesarctobeusedasa_.__._____'__'______________________ ____'. <br />".hea�mrrnfthepremisesis _._'..._______.__. _,__.______________ <br />�heaRent is .'__'__._..'.._._.______"__ '_._.- <br />_"_ _"_' _'_ __ _"' <br />his applicalion, although siFned, shall not be bindinq upcn the City, wriil ao <br />i by The Superiniendent nt the 1Vnter Ucparlmen <br />SignedC6-� r�Z������f .:.-_'_'___ApPlic�nt <br />,�•�,,/ .�.y • / <br />mpted`_ .e�'_.. � 13 .. __ _ "_�_."_"_"'__'___"" <br />� f c S,n-rinieneen� <br />f�� <br />