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c.,., .. . , v,- � � <...� EN�'D r�,—rr � � f-Ir <br /> � . <br /> 'w. n. ro�R � �soo a.i.n c.r. <br /> CITY OF EVERETT-=Water Department <br /> Application for Water <br /> All blanks must be filled in nr crasscd aut � <br /> Everett.. _'_'____�_0__ '_�. �___.__191 .�. <br /> TO THE SUPIiRINTENDENT OP THE WATER UEI'ARTMEN7', <br /> CITY OF F.7ICRETT: <br /> 1 here6y apU�Y<<>r the use n(water in accurdance aith thc rules and requla� <br /> tinm u(Thc Watcr Departman[.tnr purpo.c.•s and fiztures stated beluw. <br /> During Ihe time �ha[anr o( the w•ater mains may be taken up by reason o( <br /> :my impinvemente aulhorized by the Ciq•of Everclt.in nr of any strcet nr allcy in <br /> which they may havc been laid, thr Ciry will not bc required lo Nmish water during <br /> Ihc pfuRnss o(euCh impmvemc� ts lo any consumrr whncc supply mny thus bc cut <br /> nff,ur be liable tor any dam'ag/es fnr i�tys fsiilure so Io do. <br /> Appiirn[iun No."'_�T .�/__.-- J� . <br /> Nlcek _-�A-�-7�----Lot----'-'-•�!-^-'_'---.-Add�M���� :. <br /> n��...__/7.e__?r..3. -/'.�c/��u-,�.s����i <br /> ---- --- ---- -- --- ---- -- --- - -------- ---- ------ <br /> "fhe work to be executcd b>'.__-_..___""-- ----------------- Plumber <br /> Statc size n(tap. <br /> ...�Y___Tap to be inscrtcd in the main. /' ' -� , / �/�/ <br /> i1. i� / / <br /> _-_-�--W atcr closet � <br /> __.'/__.Hath . <br /> ______ .Urinal <br /> ._._._____Plnin faucetinside ' <br /> __ __-_ __Sidewali.e�asher <br /> __..'_...Hosebiboulsidc ' : / <br /> _Hose bih for bnildinK pw�poses / j � <br /> ___' '_"'Hosebibinsidc . �� l/ <br /> :. �p+1 _""'.__.13ib(orslablecuntaining__..._._-slalL_________ <br /> ��.�iY __"...'___Numheruf perwns in famil�• <br /> E�'�.i;�j __�__,Rum6rr at moms in 6uilding <br /> ThePremisesarcta6eused:�sa_-__- ___.'______ __________________' .__"' <br /> �. The e.�ner of the premises is __"_'_'__-____"""'__"_""'__'. <br /> w <br /> �. TheaFenti< _.....__'.._. .__"_____'__"--- ._ _...___'...._._'__."'_ <br /> 1'Lis np�4i,ation.;dthouuh signcd,shall nol bc bindinN upnn Ihe Ciry•. until ac� <br /> �ePted by The Superinlendent af R� r lep /uncn�. <br /> � <br /> :.,.. SiKncA��j�� . ._.. .� � �_A licaat ��. <br /> rn <br /> �� - � � <br /> AccePeed.._. _/�.__.]pi i � � ----- <br /> /�-- rsl! � s�q'•nm�ni�r�._' <br />