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. . ` i <br /> 'A'. D. Fum a I500 d-I-17 C.P. � <br /> CITY OF EVERETT==Water Department `� <br /> Application for Water <br /> All 6lanks mua be filled in oi crossed uul <br /> livrrel6 ___"__ _-�-/.c22Q .'_"_'_ _'191p"'_ <br /> TO TIIIS SUP:iRIN'fENUIiN'1'OP 7'IiC W.\'1'ER UliPnu•rn�r•.x•r. <br /> C191'OF 1•.:'IiR1:I'T: <br /> I hereby:ipplY fur�he use ot�vnler in :�ceardance��'i[ii lhc r�iles nnd regula� <br /> iions nf'�hc AVater U:P�rtmrnt. tnr P��rpuses and fistw'es stattd Lclow. <br /> Uw'inti thc Limc ihat :my�d Ihe��'atcr mains inar bc takcn uP bY rcason��f <br /> :m�� imPruvements authorixed bc thc City�d livcrclt.in��r of anp sl�ccl oi alIcY in <br /> w•hich Ihe>'mi�' h;rvc been lai�i. thc lily��'ill not be required tu (umish walcr durinl: <br /> I�ie Pm¢ress n(sudi imPravements ta an)'ccnsumrr x•ho�e supply ma)'Ihus Ge cut <br /> nl(.or bc Iiablc!ur anV d/am:�Kcs Cfnr ils (:iilure sa �u dn. <br /> APplicnlinnNu.__17.�.�1�.____' " �� '� <br /> r�w � <br /> ii,�,�k _ __,�- --t��i--- �-----�--/�-� �.(2_,�aa <br /> —����,pp ' I +� � /� <br /> - .a-A-U�p__.Ul�f-ti-a=�--Y-J=�rcet <br /> \n.____. . _- � � <br /> " .._---___._. -.__ <br /> _ ' I 1 <br /> ._'__ . __'__. <br /> _... _-___-__._- - <br /> ..�� I'hc�sork t��bc esecutcd b)'---'W1�Q ' 11'"���•- ...--- '-_ Plmnbcr <br /> Slalc sizr nf t�p. 0�/ <br /> / � � <br /> __ a 'Pap tn be insrr�ed m tLi main, � <br /> ..� .�Vnter dnset . � - ' / • <br /> ^ <br /> 1 l � �4' .. � L� � . <br /> _ � .Ilalh ' � 1 1 � <br /> � . .Urinal � ,.J )�;�_,'�1 ``_ �,�. <br /> _-. .- ��`� � . i ' �' � <br /> -"_____Plainfnutetinsidc , . .,., `-.i ''.'St. � I+' <br /> � � 1 <br /> . .- _'._Side x�alk)�;�sher . ' . /r� <br /> .._Ilosc uih•ouiside '.�'�' . <br /> ! � <br /> __'_.. ..Hosc bi6•'nr building Purpnses :'.. . �.. , -�� ., <br /> / f .. <br /> _'_'I{usc bib insidc � �'� ; . � <br /> _'ll�b(ors!ableconl�inin�._'_ _ _�;.'l:Jl___ .__ <br /> _ . - _-Numbcr of penons in famil). <br /> ._Jr-...__Numbcr ut rnnns iu buildinK �` ' <br /> ._ � C__� - �_ ._.___ ' _.._. <br /> 1 hc prcm�srs are tn bc uu'd :�.��. <br /> "" ' <br /> 'fhe mcner of the Premises is . t,,{(. � -��---r�r�- <br /> "1'hcaHentis .'_"__ ."._'___'.Y .... __"__'_"'_ .._ . <br /> 'Chis applitalion, although SiNned. shall nol bc Ufnding upnn thc Ciq•, umil �ir� <br /> �rptrd by Thc SupenNcnd)ent uf the 1Pnler UcP�ttmcnt. <br /> Silincd ./.'L�'�j.�!�/�+�-��-/ ___' ' '_ '_A�� �.�nt <br /> , r��, <br /> if / / <br /> ��«•„��•� - � lP�r-_��i� it r� --- _ <br />