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_,., ' - <br /> - ,. , , .,. _ ^� ��„-,> /- �,/- -��. <br /> �c. n. em�»a isoo a-i-n e.e. . . . <br /> CITY OF EVERETT@=Water Department <br /> Agplication for Water <br /> All 6lanks must bc fillcd in cr crossed aut . <br /> Evcrett.. .___'______"'���(_ ______.'__79�t.L <br /> TO 7'H1:SUPIiRIN"PIiND1iNl'OP'I'IIF,NATIiR DF.P.4RT\78XT. <br /> C17'Y OP 1•:YERETT: <br /> I herebr:q�ply Cnr the use of x•ater in accordance x�ith the rules nnd reKu�:r <br /> i;��na uf The 1Vater U:parnn�nt, (or purpmes and fixtures sla[ed bcloa�. <br /> DurinK [he[imc Ihat any ot lhe a•aler inains may be taken uP �)' reason ut <br /> an)' iinprovenlenls nulhnrized br the City u(Feerelt.in or ol any SVicel a� aIIeY in <br /> ,•.hich they ma1' have been laid, �hc l'ih� �rill not br rcquired tn lurnish x�aler Juring <br /> the prn�mss n(aueh improvements to any eonsumer �rhose �����iy �u,>•u,us�>e cue <br /> nff.ur be 1ia61e fnr mty dam'iges fnr its(ailive so to dn. - <br /> :\pplirnlion No."_L-�'�".7�_. <br /> _"_' <br /> ts��,ck _ •2<L2 -- i.�n.l.Zr_I..7r.L�— -.naa -- — - --- <br /> Yn.'_'_' '�_I'O''�_._��r.c""..Strret <br /> '__._.. __. _.__._____'______'______'__.'___' <br /> 'fheworkto6cexecuteciby._'_'. . ._._ _ . ___ ____' Plumber � <br /> Slalc si>e a(t�q>. <br /> 0 0 <br /> _ '�c""'Pap lo he inscrlyd in lhe main. 2, ' _ -. / � �� <br /> � <br /> � _'_lYa�crdnscl � <br /> "'�'__.I3ntl� <br /> ._.-.___ .Urinal <br /> __'_"'_.Plain (aurct ins'�dc , <br /> . .__""Sidc e�alk washcr <br /> .___'._Husc bib oWside r,�� <br /> .-'_'-_'llose bi6 (orLuildinti P�trpnscs �'1 . <br /> ' _"___'..Hoscbibinsidc <br /> 1 . <br /> � _'__".._13iaforstablccon�aininK__ "'.__.stall.__ "_' <br /> "_" '"'NumLcr nf persons in famil). <br /> __�.___'Num6cr u(rumns in building <br /> ThePtemisesarelobcuscdasa'_'_'.____'--'.__ .._.__'_'_ <br /> """ <br /> 7'hemvneruftheprcmi.esis _____._"'__._.__._. _ _.i.._.___.__'. <br /> l'henFentis .'_.__._._ <br /> __.___._..__'___ ... ._ __._. __'_'_.__._-___'-_ <br /> '1'his applieatiun, :dthough sitineJ, tihall �ml bc bindirg iq>un thc Cily. until ao <br /> rrptc:l 6p'Phc SuperimenJcnt oL '• Rh�� Dc r,irtmcnt. <br /> 1 <br /> Si{;ned""'. . .___ . _' "' ilicml <br /> � / _ �+?�. <br /> _ ""'_^_' <br /> :\c.eplcd./. .l�'_'._Ja1L Ry......� . <br /> ____ .____"_'_'. �.. <br /> ..�. :mi.nn.e� . <br />