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. .. .� . ` . ._ . _ .7.. .. <br /> �,,,.v - .. - � r - i s � C'rl.� �--�Y- �-r � <br /> W. D. Fnrm I iaoo a-i-n c.e. � <br /> , CITY OF EVERETT==Water Depactment <br /> � -- <br /> �pplication for Water <br /> All blanks Nc�t 6e filled in or crocsed nut <br /> _ _ / <br /> Lccret6__--------------"".-y-�--�-'---'191�Li <br /> "Cll THE S�PIiRIN7'IiNUE�7'OP TIIIi WATF.R DIiPAR'f\?F.N7'. <br /> CI'1'l-OP G`/1'RF.TT: <br /> 1 hereby apPW for the use uf�ealer in nccordancr witl�U�e rules and regul�� <br /> t'�,�m nf"Che 1Va[er Uepartm�nt. fnr purposes :md fistures stated 6e1����•. <br /> Uuriny� Ihe:ime lhat :my ni tlie water mnins may bc taken up by reason ot <br /> mip impmvemcnts:mthorized by the Citp �d Ercr^tt.m ar nf a»Y strccl ai nlley in <br /> which thcy mnY havc bcen IniA. thm City��'ill not he rrquired lo furnish water during <br /> the ProFrr's nf such imprnveutenls tu any consumer ���hose supply may thus be cul <br /> �df.ur be liable for any d�aJmages fnr/)ts (ailura sn �n dn. <br /> Applicntiun Nu..__�/-��l-_ <br /> '__ <br /> ' Rlock .--_?/--�/ _Ltl'_"I./` �'Y:_".AJd.'__'--_'_'-"""_ <br /> \u.._�_��/. -��.� _ .Z�L�f!-e�.G'_"__"'_Strecl <br /> """'_'`""""""_" ___ <br /> __""_ . """_"'____ _' '-pp _ �- <br /> "" <br /> ��.�,fhe�cndctnbeesecuiedby.___�f`��'-�'�'-f�'�---- --------- Plumber <br /> State zr uf tap. / <br /> � �'y �rTnp to br inscrlcJ in the ma�n. — �' � <br /> i� <br /> ._._. �__\!,aterdosrl �7- _ /✓�pe <br /> ""'�'_.Balh <br /> "_-. .Urinal <br /> ____�.._.Plain taucct insidc � <br /> i <br /> ." '_'SiJe�calk «'ashcr i <br /> �_._Nuse bi6 outsidc <br /> _ I <br /> _'_`_"Ilosc bib fnr buileling purP��ccs ' <br /> _ '_C"'I�lo�c bib insidc f � , <br /> _ __f3ibfurstablecontaininG.----^—stall_.�__.' <br /> __ �/ <br /> .___ U_.Nunibern(persnns in family. <br /> __`�'NumUcr of ruoms in building /�,{� <br /> 'ChePremisesamtnbcusedasa___-_ Vl��._.__"__'_'_"_ '_'.. I <br /> 'Che o�ener o(lhe Drcntises is "'" . �' ' _--'-""-_"_'___"__ . <br /> � �, e.. <br /> "_""' <br /> '1'heaKenlis ____. . �_FL�.Z_ ./y�_'_._ .___._. ___ <br /> This :�pphcatinn,:dthough si};m�d.shall nnt be binding upnn thc Cit)'. until no / <br /> ��pled bp"Che Supefinlendent o�f/Ihc 11S�ler Ucparlmennt. <br /> SiKnei�__.�//��� G �l.__-I,A�.�"-" ! ..___._'ApPlicant / . <br /> �`-".-_"'� "__ �7 / / <br /> � i7��/ �/ li�'. ' R/�.�mnaeni / <br /> �icd�.�.- _� �fi - <br /> / . � / � <br /> �D <br />