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� x�.n.Fo�m . isoo a-i- �.• ' -• <br /> 17 C.P. <br /> �`�" CITY OF EVERETT�=Water Department • <br /> , Application for Water <br /> f� .111 blanks must be filled in ur crnsced� <br /> � � //' / <br /> a. EvcreU. ____'__"'_ ' . ".""'_'IYf'..Y. . <br /> TO THE SUPCRIN7'FNUF:N'1'OF THE ER DEPARTMEKT, <br /> Cf7'}-pF' EVERETT: <br /> I hereby apply(or ihe use uf water in accnrdanre e�ith the rules and rcgula� <br /> !inns u(The Water Uspartmeut. (or purprnes and fixtm�es stated below. � <br /> Guring the time that:my i.f lhc water mains m:�r be taken up hy reasnn of <br /> ���>'����n����•�ments authnrizcd by die Cite ni Gverelt,in ��r o( an� �trcet nr alley in <br /> �ahich they may have been laid, �hc Ciq�will not be r�qui:rd tn Iumish w�ater durin� <br /> �he pmgress o(�uch improvenn�nts tn anv ennsumer whase supplp may ihus be rut <br /> nff,nr be liablc fnr any damages fur its f:�ihve sn to do, <br /> Applicnlion Nn.__7��� ."" <br /> HL�ck ___ _ _� . rldd_.___ <br /> . _.__.'_'_'_' <br /> '_.__ <br /> _.. .__.___. . <br /> .'_No.' '_ ...'_'_Sir t /� <br /> . '_'.__ " _ . .._.-�t�u�-i�_ <br /> _ -- -- - -- - �"�'_/-_�'�-C�,N._,�° <br /> 'fhe wark to be execulyd bp___'._'_""' '_"_.... _ Plumber <br /> _' '__.____._' <br /> Stale zr of tap. �¢ <br /> . �Z.Tap to bc insrrird in the main. �"' / '� �� <br /> -- .-. .__Wnterdu�rt <br /> "" ""'_Balh <br /> -._ ._. Urinal � <br /> . -____-.Plain faucetinsidc <br /> .--_.____Sidr w�lk u'asher <br /> --.-'__.._Hnsc bib uulsiJe , <br /> -__"__HoceyibfnrbuildinFpmpnses . <br /> Hose bib insidr <br /> ______ �� <br /> 7 <br /> ____.__Clibforslablecuntaiuin�;.__'___. a,all_... `�; <br /> � <br /> __. .__Nnmbcr o(peru�ns in family (� <br /> . -'_""Numbcr n(ronms in building <br /> 'fhc premises are tn be used as a'___ <br /> __"_'_'_'_"___"___"'___' '__.. <br /> The ow�nik'nf lhc premi.es is '__'__ <br /> . .__..__ . .___.____ <br /> _"'___'__.... <br /> Theaucntis __.____.._. .._'___._'..__ <br /> "fhis :�pplicatinn. :dthough signed,shall nnt bc 6inding iqron ihc City, unfil ac� <br /> �'rptcd L•; Thc Snperintendent nf�hr 1Y9�r Uepar`tmrut. <br /> Sipne�_._�,�,y�f/(JG�lI/y.�f��_-_Applirant <br /> \ �AccepleJ__�'' �_ -....14$2 I3}. <br /> _ <br /> ;__._..._..__'.___ <br /> ��.•�II'le��e^.I <br /> rj.. . ._.... _ <br />