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• •• . .- • J -^ J c. L`7 T� . . <br /> i.-- r. <br /> .. y- a <br /> W. J. Farm 1 ISC� 3-I-19 C.P. <br /> CITY OF EVERETT==Water Department <br /> Application for Waler <br /> All bl�nks musl bc fillcd in or crossed aut <br /> __ '_ � /� <br /> Evcrett. -_.'..__ � � �- '� <br /> _'..____"__.'___.. __'__.._.19I �..J <br /> 'f0 THE SIIPIiNIN'1'ENUIi\'1'OP 7'IfE WATIiR UEYANTDIEI�T. <br /> CI'1'Y OP IiVL'RGTT: <br /> I hercl,y apply fnr the use of warer i: .:xnrdance�riUi the�ules:u;d rrN�ila� <br /> ii�.in;uf The Watcr Uepartnvn6 (ur purpnses and fixWres statcd below. <br /> During[hc lime Ihal�my nf the water m:iius may 6c takrn up by reason of <br /> :my imPro�•emeuts authorixed by the fitr uf Ecerett.in or of nny sircel ��r allcy in <br /> which they may have bren laid. Ihc Ciry� will nnl bc reyuircd �u fnrnish walcr durin¢ <br /> ihu pro�recs of such imProvemenis tn any��misumer x�hnse supply may thus'�e<ul <br /> a((. or bc liable for any danngcs(or its GiP�re so tu dn. <br /> Applirnliun Nn.__'`"'' -.'_t_"__ <br /> Rlack ._�'�'`�" __ ..LnL�_[.':.`3_2-..__.Add...__ <br /> —�--- ....._._._.__' <br /> \o._.--./2:.3,�_._.�_,p'_.n,J��qls_L-..Strert <br /> .._._ ............." . '___"___'_...___...________..__'_-__"__"_...___. <br /> 'I'hc��nrk In bc exccutcd 65'-___.__.__"_' '____.____"___________ Plumlxr <br /> Stalc sizc o(tap. <br /> n [ <br /> ___�!y".7'ap tn be inscrted in lhe main. /�� ,�. _ � ��_ <br /> ._.___.__1Vatcr dosct <br /> ...'____Bath <br /> __.. ___ .Urinal <br /> _'___.__Plain fauret insidc <br /> . _"'_'_Side wdl6 w:�shrr <br /> ____""'Hosc bib outsidc �, <br /> __'_"_"Hosc bib fnr builJing purpuses / . <br /> ��i i <br /> -.-_'_._Nasc hib insidc .. <br /> .'______I3i6(urslable conlaining.._--_.__st,1L________ <br /> ---' --'.Numbcro(pc�son=_ in (amil�• <br /> � -._-""'_Nuntberofroom�inbuilding <br /> rI1C�)tCIpI5Cti8fL'IOI)l` IISL`(�.15:1 ___. . . _ _ ________________ ______ <br /> "1'heowncrofWeprcmisrsis _"__"___"_" '__"'_""'_'_'___..." <br /> - Theagentis .___.__...._. <br /> This apulicatiun, although signed. shall nnl be binding upon the City, unlil ao <br /> ted bp 7'hc SuPerimendcnt .�( \Vn,f�J Si �r ent. <br /> Signcd _"_G�/(.��"-��_�J�YI' ' c_"'_"'_"Applicant; <br /> .. � .-. �:- `_}/. / <br /> �ccrpicd-tD_'(yl'_� _lf1f�_.� Ii>'.C:__x-J <br /> _' __ <br /> / . . . '__s���ii„i,.,d�m <br /> � <br />