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„.� - � ._.. , <br />u', p, Fcrm 4 ISUO J�1-17 C. P. <br />CITY OF EVERETT==Water Department <br />Application for Water <br />All blanks must be filled in nr crussed aut <br />Everctt. _.._____..__�!.-.l_. ___..___.19�� <br />Tu '1'HE SUI'IiRIN'PHNDIi\'I' OP'PHIi NATGR DF.PAR7'AtEPT. <br />CI'I'7' OF I?`/GRE7'T: <br />1 here6p appl)' tur i6e use nf uater in :�ccordance �cith the rules and reKula� <br />ti��n; u( The 1Vater U.:parlment. (nr purP��ses and fixWrcs statcd below. <br />During the time Ihat :mp u( lhe �cnler mains m�y be taken up by rcasnn n( <br />any imPrnvemen[s nutliorized bc the Cil)� �d E��erett. in o• nf any titrcel u� nllry in <br />�rhich they nnl' havc been laid, ihr Cily will no� bc rrquired tu lurnich water dm inf: <br />tho praFress �d such improcemrnts to any cunsmner whu�r suppk m�n� Ihus be cr.t <br />,df, ur bc liahlc for any da)mat;�s (or i�s L�ilurr su Iu do. <br />�/ \. � <br />Applirnlinn Nu."_/"--' '� �,�-�' <br />BLxA.____"__ Lul'--__--___.'___AJd. .._. .. . . <br />.��. — `f`� `�� - y-�-�' - --..si.��c <br />_ _ _ �-- -- — — - -- — -- -- ---- <br />"fhea�ork�obccxccutedbr ._.'___"'__'_...__ '.'._ ___' Plumbcr <br />S aI sizc nf �ap. <br />O� <br />_�____Tap to bc insrrted in the main. n�_ <br />II � j) <br />'- _'.__14Ncrdnsct �/� - <br />”' __Ilath %� <br />__.._. _Urinal <br />_ _. _. ___Plain (aucet inside <br />' _ _""Sidc n•alk washcr <br />-__'._Hnse bib outsidr <br />� <br />________Ilwcbib(nrbuildinKP��rpnscs I, ' ' <br />..-."_'Hose bib insidc '"-.�.. <br />_"_""_liibfarslablecuntainmg_____'__elnll._. '__' % <br />____...___Numbero(persnnsinfamily � <br />_.�_._.Numher uf ronms in Luilding �.,0,� �� �1 <br />'Phe premises are tn be usrd as a____ /`-^"�^'�`- �Q'`'�'"L:{ <br />__.____. _'_..__.. <br />9'hcua�nero(lhepremiscsis ___". _____._. ______..__ ' . . .... � <br />TheaRcntis "_"_".._. .-"'_"'__"". -.____"""' <br />...___"..___. <br />7'his application. alihough signcd, shall not bc binding iqxin thc CiIY. �ntil ac� <br />rcpleJ Uy The Superinicndent of thc ryxtcr Deparunepnt. <br />SiRned_.C.._.�-�J���✓?� 1r-\.._'_ .___'.___Applical�t <br />Ar;� �_.d'?t.' /-__� 1� Ii� �"._ <br />.. / ' fi� g.,r+n::mn^..,� -. <br />f <br />