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j �� ��. � ,> ,_ <br /> �, 1 . <br /> �:.N'. L. Fui n 1 I SLO d-1-i]C.P. <br /> ' CITY OF EVERETT==Water Gepartment <br /> Application for Water <br /> :111 blanka::msl be Glled in or crossed out <br /> F.vercll. _ '_ --__"-"'"191 .7>--.. <br /> __._..___// �___ <br /> "PU 7'HE SUPIiRIN7'F:NUIiN'I'OI�'I'HG WA'PIiR UI3PARYTtER7'. <br /> l'I'i'Y OF 1'.`i�RE7'T: <br /> I herc6Y�PPIY !or ihe use o(�rater in atcnrdante x�ith the rules:md reRula- <br /> Iiom o(The Water Uepnrtmznl. (or pw7 u;cs :md fixtw'eti slaled bclnw�. <br /> UurinK thc�intc ihat:mp��(ihc w:ucr wains mac bc laken up 6y rcason of <br /> anp impooven1g�(��a�uthorizeel bc lhe City �d @verrtt.in or o( any street or allep in <br /> which lhey�ney4N�tle been I:�iJ,the Cily �eill nnt be requirrJ�u(urnixh wa�er during <br /> the prngress o!such improvemenls In any eonc���»�r x'hose �upph• mny �hus bc rut <br /> o(f.nr be linble for any dama�es(ur its failure.0 to do. <br /> ApUlicntinn No.._'_b'q�-3-"'—' //J / <br /> Biuck ___�-_.__/_�...I/.Lut..__'_��. _______ \dd��-e-�.��<.�-`�J �P>L <br /> i <br /> \u.'_'_o�.Q l_.:/..V�.�$lrecl <br /> ...... .. . . ... <br /> 'I'hex�arklubceseculedby'-----'__""_ '- . '_-_'_-___' '_ PlumLcr <br /> Sin s¢e uf tap. � QU <br /> �_• '"_T�p lo be inserted in t6e inain. / �.— -_ <br /> __/______R'nter<Inset ��/�.' <br /> .�.�--�� �. <br /> / . ' � �.':�' . <br /> __ Bn[h � : <br /> ._ __ .Urinal ; ,� � , n \\\\ ; \� ', <br /> ._Pl�in f:mccl inside '' �-•�,, '� <br /> . .'_" � . . ,.� <br /> "_"'Side u�alk washcr � ., ���� ���+ � � <br /> ._Ilase bib uulside � {� <br /> ` Y°`.' j <br /> .Jlo�c bib(orbuilding pumnsrs <br /> . .. "_"liosc bi6 ins�dc `�\���(-T � <br /> �....w_ :_ .. <br /> . "'_'_"I3i6furst:+blecontaining._.._.._.- clall . . _'_ <br /> ___' . "'Numbrruf persons in fnmily. <br /> _5__'_Number a(rooms in building <br /> Thcprcnisesaretobcusednsa__.. _..___..___. .-. <br /> ___._._____ __._. <br /> 'Phcua�nernfthepremisesis '_"'.____"__. _ __ ._ <br /> ._'_.. ._'____"_'_' <br /> "I'hcngc�q is ""_..._._.... '_"_"""__ .. ." "_._""_. <br /> fhi� applica�ion, althuugh signed.shall nu bc binding upon Ihc Cily. until ac� <br /> � <br /> ���pt���l bp"Phc S�perinicnden' of Ihe 1Vnter Uepnrtmcnl. <br /> :Knrd ' ' .!/4_��•� , , _ ' _'__ApPlicanl / <br /> AtuplrJ yi�.,�.c"c'_'_'.--141V/1 � � � / I- '• { <br /> ' ' l � ' . .� �im.nc� � <br />