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.=// I F• / _ •_ 7 3 C' _ �i-i 'i G' /2- z 3 - I�� <br /> w. u. Form a �soo a-�-�v C.P. <br /> CITY OF EVERETT�=Water Department <br /> Application for Water <br /> All Llanks must he filled in nr crossed anI <br /> Evcret�. .--'_-_'_' _�/�_7'..____..19%'-.J� <br /> 'PO TIIE SUPBRINTIiND1iN'1'OP THfi WA9'ER DIiPAIiTMIiNT, <br /> CI"I'Y OF E`/F:NF:7'T: <br /> I hereby applY for the use of water in acmrdance with the rules and reRulo- <br /> tin�:u(Thc lVatcr UepartmznL fur purpose. nnd fixtnres stated belnw. <br /> DurinK ���e timc Ihnt any nf the water mains may be taken up bY rcas�m ot <br /> ;m.� imprnventents authurized b)� lhe City ot Evcrell.in or nf an>' sVeet or nI1cY in <br /> �rl.ich they may have 6ecn IaiA, the Cily will r.ot bc nquired In lurnish water durin�! <br /> �h� progress n(such{mprnvrntenis tn any consumer whose supplr may ihus be cu� <br /> n(L or bc liable[ur anY 7��ma�es fu/r its Gilure su to do. <br /> Applicntinn Nn."'(__��J�_""' <br /> Rlock __' c'_�_�..,_f�}. 'L t__"'_ Add""_ _--'-'___'._ <br /> \n.._���.J ' �/ _ ' <br /> . . . '_""'_'_ <br /> 'JI. -'-_"'"'_" '_"."_"'_Slrecl <br /> . . �The mork lo be execuled hv'__'_(_f_� _"__� ' _-__ Plumber <br /> Statc zc of t:�p. <br /> � /i <br /> �Tap to be inherted in the m�in. / <br /> _ � -_� � Z - � j � <br /> .... .�__W�ter clusel — <br /> .--.�'---13ath <br /> _. �<- -Urinal <br /> ____.a�_ _Plnin taucet insidc <br /> . �`"_�idc walk unshcr � - <br /> .._' �-'._Hnse Lib uutsidc � . <br /> _.__�'`.___Iluse bib fm'building purpoccs <br /> _ _�""Jlosc bib insida <br /> _'__..__I3i6(orsr.�blccontaining.__ "... slall _.-"__ <br /> _ ��-"Numbcr of Pcrs��ns in f:unily <br /> . q�_._NumLa u(rooms in 6uilding /�J�, � J - <br /> '1'6cpremisesnretnLeusedasn_._ v.�-"✓�""'�-�".".. ._ ...._. <br /> '� � /l <br /> 'fhenrenernflhePrem)i<esis !�C�f/ �'��Jy�`- �i-'O�i__._' _-___. <br /> TheaRcntis .f.i//'GL +-6���!----.y--. .__- -_.__'__ ____'______ <br /> This aPPlication,allLoi �h signed,shall nul be Uinding upnn the Ciq�. unlil ao . <br /> �d by The 5uperinv�ndenl n(the Nntcr UcP���t�ucnt. <br /> SiFncd�'__��_i/_..i�a�s._LYi- -- ----nrvrc�n� I'� <br /> !rccpted.._'.___'."""'-.-191 IS <br /> Sut��ririmdm� <br /> � <br />