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� . <br /> N'. D. Form 1 I500 3.1-I:C.P. � . . . - <br /> CITY OF EVERETT==Water Department '� <br /> ; <br /> � Application for Water <br /> All blanks must bc filled in or crossed out <br /> Eecrett�.�-.'..__-�,�t�Qs J'CL oS . ____'_._.191�____ <br /> 'PU THE SUPGRINTIiNUEN'1'OF 9'lIE WAT'EF DCI'ARTM1tENT, <br /> C(TY OF F.`/LRETT: <br /> 1 hereby appty fnr the use ot n�atcr in �ci o�dance with the rules and regula� <br /> tiuns id'fhe \Yater UzparUnenl. tor putpnses ann fir[ures stated bcla�c. <br /> UurinK the time Ihat am•of the�ratcr nains map be taken up by reason o( <br /> any iinn:o�ements nu�hurized by the Ci�y af G�crclt.in or nf nn)' street ni nlley in <br /> �ahi:h they mav i�aee br•u laid, tlie Ciq•���ill ne t b:�rcquired to(urnish water durinF <br /> the progress of suCh improventen�s ln any amsnmrr whuse supply ma7 [Uus Ue cul <br /> of(.nr bc liable for am/•da�mjages k�r ils(nilure:+�Io do. <br /> Apnl icntinn Nhn..v.�:_�/""'____' <br /> Illnck .'_'. .G.-,� O+�___'Lnl-_ .�..�.��'_"Add...--'-_. "_-___'--' <br /> \n.""' �iC.A.�--�Q.�l.6�lP..Glrect <br /> "_' p � � <br /> _._"_..___" ' _____"'________ __________'_._..'____'___.__. <br /> _"_ " <br /> 'I'he wark lo be e�ecuted b)' d-�-�==�---- Flum6er <br /> Sta�=ize at t�p. <br /> ._`�'_Tap ro be inscrtcd in thc main. O ( <br /> . __�"'_Naterdnset � � `a' `. <br /> 1 <br /> _-"�.'_.[lath 1I �. <br /> __,_ . __ .Urinal �b . <br /> 0 <br /> ..____-_._Plain tnuttl insidc ,�� �_,4 ��\ <br /> y <br /> _."__Sidc w�alk washcr //(j y/ `"� 7 I �i. <br /> ._ _' "_Hn�c6iboutside �� �;,/�^f 1 � <br /> .__"_..Ilusc bib for buildinR Purpuscs l� ' �;�J��I f''\ �f� i <br /> 1 1 1 <br /> ..._____.11oscbibinside � /�)a1i � I � <br /> .___'.__IlibforstnblccontaininF__._-__..st�IL' �_ �_-NC� , /.' ` � I. <br /> \1 <br /> "'Nuntbcr u(persons in familp � <br /> __ I � � <br /> _ <br /> __..y.'_Numberofrooms.iu6uiiding �C�f� i ��(•/.. <br /> c r - �� <br /> 'Phc Premiscs arc In bc used as n_-_" '_"_"_'-_"_"_"- _/ "' <br /> l'hc ne�ncr of lhe premi�rs b "'_""___"_'-- "._-'"_'-'__""""_" <br /> ThcaFtntis ._._"'___"'.'. _.'__'_'__'_ '_'_" "__'""" "'__""_'_ <br /> 7'his applicaiiun,althou�;h siAned,sh:ill nut bc binding upon thc City, until ac <br /> crplyd 67'The Superinlendent nf lhe Wnter Depar�men,It. / <br /> SiFned �!_�7�/�.__� .��'7"fiL3i/�f L��7"r��=Arni�c:,ni � <br /> e,��,.�,tcir�_.�i.-- _._1s� �5� ttv .._ - /-..- -- <br /> . � � "" Su:ommn"cn <br />