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. .. . c w,;� .,.,:r-n.. ,�7 <br /> �4. �. Fom� I500 J-I-1 7 L.P. <br /> CITY OF EVERETT�=Water Department <br /> Application for Water <br /> All blanks must be fil in m crosscd n <br /> Ecerett.- _. ..___ '_._�!.�_______19Y'I!__ <br /> TO THE SUPF.HIN7'ENUI:N'f QF THF: ATER DF:PARTMEN7', <br /> CI"1'Y OF E9gRETT: <br /> I herr.by apply fur Ihe use n(waler in Tcmrdnnce w�ilh th�•rules nml regula. <br /> tinnv o(The\Vater Deparlm•nt, (nr purposes and fixtmes steted belnw. <br /> Dm'inK thc lime Ihae nny�n(Utc walcr mains ma}�be 1:J<en up by rcason of <br /> :my impruvements authnrizrd h�� Ihe Cin�of GvemlL in or o( ar�� streei or allcy in <br /> a�hich they mnS' hare hecn laid. the Cit>'n•ill not be requircd tn lurnlsh water durinF <br /> �he pm�,ress n(such improvemenes�n any cnn�umer whose supph� ma}'Ihus 6e cut <br /> u(f.nr be 1ia41r.fur anr Ja�aKhti'Rrrjls lailure cu �o dn. <br /> �j % O <br /> Applicntinn Nu.__/____. ____ __' _ <br /> liluck _ ��_ ,. "'_ L Add_����y� <br /> �G /(` _ _._.___ . <br /> , ._ _..__..___ ._ <br /> � u..__ _ _..._' _' <br /> ._ .._______ c�teet <br /> . "'_"""'_"'_' '" , <br /> ""' ' "'__""__..__.__._. <br /> ___""__.'""""__"'_ <br /> The warY. tn be execuled by.. ._.__ �_. Plumber <br /> ______ __....____.. <br /> Stale;iz,�uflap. � "_'__ <br /> e/y . <br /> 7ap tn bc inscrled in the main. /v�—� <br /> "'-"�'_W atcr do�et <br /> _.._/._ 13ath . . ' . <br /> ---. -_. .Urinal - � � <br /> � , a <br /> .. . Ylain faurct msidc � � 1 F <br /> - - .. , Sidc wnik x•ashrr r� � �� ' � ��� <br /> �.: <br /> , ,� �,��� � � <br /> -- Hnse bib oulsdc �. . �� �r" � <br /> '--" -- Hnac bib (nr buildinK P���P�ves�. 't _ % r� <br /> /! <br /> - _Husc biL insidc � - EC �i; <br /> F ' � ., <br /> "" '. _IiibforstaLlecont�inin�; -. .._ � st�{T�q* �-, <br /> i <br /> -_ _Numbcr u(persnns in family _ - <br /> `` � <br /> ""�'_'Number nf ruoma in buildinF - .' <br /> The premises a re lo be us�d �s a__._. .._.____.____'__. <br /> '"'_". __'___ ' <br /> __ <br /> Thc awncr o(t6c prcmises is ""_.____"_"_' <br /> ._'_"'_." _' <br /> .._ ._""___. <br /> Theagentis ____._.__..__. .________'___ ._. <br /> _ _....__'. ..'_'_'_"' <br /> Thiv :�pplicatiun.althuugh siKncd,shall not 6c bindinq upnn Ihc CitS'. until ao <br /> cepled b)'Thr Superinlendenl uf tl . rt . <br /> s�a„��a ._. �- �rns�,o� <br /> t- — r— -- _ , --- <br /> ArccPi�d .:�-_�� t�!�.j py �- . <br /> t � " ..- - - _5,::.i�in.n:.ri'_' � <br /> .. �l1 r • . r. 4.� <br /> r <br />