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�_ . � , v - � " � . <br />.. '_ - !".v-.-7� 3 s�-_`.�_- ..:-r <br />w, o. F���.a isoo a-i-nc. e. � - <br />CtTY OF EVERETT==Water Department <br />Application for Water <br />All binnks must be filled in or crossed oot <br />Evcret[,____ • <br />. .-----�_�''__. _'_______.". ___19h _-f__ <br />TO 'PI IE SUPERIN7'ENUGN7' OF'1'lIG Wd'1'F.R UEPARTMENT, <br />CI7'S' OF G9F.RETT: <br />1 hereLy ipply for Ihe use of �vater in accmdance with th�e rules and regula- <br />ti�.�ns nf The Water U_partm �nt, fo: purposes :md fixtures sta[ed bclow. <br />During [he timc tha� anc ui ihc watcr mains may bc taAen up by reaaon of <br />any iinprovemenis nuthorixed bv the City n( Evrrett, in or of nny strcet nr ailry in <br />mhich they mey Mve been laid,�thr City �vi11 nnt be required [o lurnish water during <br />the prngress o( such improvements to an; cnnsumcr whose supnlc may thus be cu: <br />afi. un c� liablc tor any dama!�gcs for ils (ailure so lo do. <br />APplirntinn No.._ � �' / �__'_'_ <br />131ock _"_""_ '_ �C'. . -•.. <br />__ Lnl._"""".._�_... .'.idd_�'_" <br />._""'"""""'" �. <br />Nn..�.�-.3.2 _�f/crG«...�'--------------Stre�t :-::�,.. <br />_ � <br />----.. <br />--- ---- -- — -- ----- �''�- <br />-- --- -------- <br />� '----•-- ,,:.' <br />'fhe wurk to be executcJ bq..___.___"_'_' - Plumber � <br />'___._'__'_____'__." <br />Stnlc si c n( (ap, <br />-- � 3 Pap to be inserted in lhe main. �' <br />.._ 1�__Wn�erdnset � <br />��• • .�J" —. <br />---- t _ti,�h <br />_ _.. ) _ .Urinal <br />.—__f___Pl:�in(aucetinsidc �/%�Gl� .�/�O,j <br />. -__l.___Side�ralk���ashcr <br />--. _ L _. _Husc bib autsidc <br />---' �-"'Hosc Lib (nrbuilding puiynscs /� <br />.-.-_-_k_.Hnscbibinsidc �� . <br />_.'__')_'_RibforstablccontaininK.___A___.._.stall `,!__"_� ..� .. <br />___..\___Numbrruf personsin fnmily � �.�'� <br />_. __'f___Nmuber of rooms iu huildinK �,( ) <br />'1'hr prcmiacs are [o bc used ns a �.. __.. __.UC-4[ '. __... _ _. <br />.."_ '._.'. <br />. .i/ <br />rhe nwnerofthePrcmisesis _._ _._^rf_'�dY�_'____._'___'__.___ <br />ThcaF<m�is.________'_.___'______'____._ ' <br />_.." .'__"__""_ ____'__"_" <br />r ^'his applicalion, although signeJ, shall not 6c Linding upnn the City� unlil ao <br />••pted 1y Thc Superimendcnt af the 1Vnlcr Deparlmcnt. <br />` � ��'' %�j'�'-i <br />` � '�� Signed\__p� . � .---- '------- �nt <br />L"s�i:['%'��e�..:.;�-x "_' P�)Ii��� <br />�a,�_- i ai f <br />�----_ ra u>•.__. �,' <br />. --�"f > ��r-�.�.r>--�- --/ <br />V nmteniem <br />�i�-^�-- _— <br />