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♦ . E / > a 7�. � i �,.> , . . . /� <br /> R'. D. Prrm � I 500 J-1-1]C.P. <br /> �ITY OF EVERETT�=Water Departmcnt <br /> Application for Water <br /> All blanks musl be filled in nr crncsed n <br /> r:��r���. - -- /-/-- --- - — ��'Y <br /> "I'U "CHE tiUPI?RINTENUIiN'I'OF '� � 'R UEI'AHTDIENT. <br /> l'1'PYOF FVERF.TT: <br /> 1 hrrr.bY aPPlr (or�hr use of wzter in ;�cmrdnnce with the rules:md reguln• <br /> tivn;�d Thc R'..'-r Dep:vtmsnt. inr purP��ses and fixtures stated hdox�. <br /> UurinK���' time Ihat any of Ihe�c,trr mainx may hr taken up hy rc:�son o( <br /> :m>'iinprovemen�e authnrizeJ he the l'i�y�d Evcrett.in or of any street n� allep in <br /> �rhich lhey may have bcen laid, the Cih�x•ill nn(be required to Iurnish warer durin;, <br /> ihe proRres>nf sucL impruvemenh tn anY�nnsumer x�huse �upph• utav thus 6r rut <br /> nl(. or bc linblc for any damyagrs inr i[s (ailure so to dn. <br /> APPlicntinn Na.'_"' /�.S_�' . <br /> ! �'- <br /> iii�M�: __.-3s�_ u -1_�� �-�_,�aa .._. <br /> , --- — <br /> — <br /> Na__�lo / O..iL._. _____..__��L�__..Strect <br /> ._______ _._...__ . ._.____ . _____.._..____'___"___"'__-._-__ <br /> 'I�heworklobecsecut�•dby _.__'____"_'_ ._ _____"' Plumber <br /> .__ .""_. ` .. <br /> $18te/5j� e of t:IP. � ^ C� <br /> ' / ` . <br /> .../--.�'-TeP ta bc inu�rled in thc mein. <br /> _-_ ..�._R'aterdoset <br /> ___'.._ Nath <br /> .--. _. .Urinal <br /> ._ . .Plain faucelinsidc <br /> -_____Side�calk wa.her <br /> ._.__. __Hosr bib nu�sidc d �� � <br /> _"'_". Hnsc bi6 (ur LuildinK D,u'pnces �� . . <br /> ..Hnsc bib insidc � <br /> -_____'_RibG�rstahlecontniuing__.._ . .stalL... � <br /> _' _..Nunt6rr of per.uns in famil�. <br /> . .�___Numbcr uf rnon.c in builclinQ <br /> 'fheprrmises�rclubrusedasn...' ._"_ __. .._. __'.____.' <br /> "' ___"' <br /> '1'heuwnern(lhepremisesis __'_'._ . .___. .. ._..____"'__._ <br /> ""' _'_ <br /> The aKc11i itl __.. <br /> __ . _._'_"'_"" <br /> '_ ___ __'. _""' <br /> _._________- 1 <br /> '1'his :�yplicatinn, although siKned.sLall nut bc LindiuP, upnn Ihc Ci�Y, unlil ac' ' <br /> ccpled by The Superinlendent Ih�� 11'ntcr Ue�arlmen[. <br /> Si�±ned___ -��"� <br /> _. ._ . _ _ __ __. ______.._ApPlicant/ <br /> Acn�ptcJ_ ]r'�.;_�� 13y _ ..____ _ __ <br /> C/ -�_ . ..c,.q.r�nrn-...�. <br /> _ I <br />