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� f%%:�. . . - i.l. ' .. ' E'�Tlf �- lU -�-{�'C , • <br /> W. O. Fnrm � 15C0 d-LI]C.P. <br /> CITY OF EVERETT==W�ter Department <br /> Application f'or Water <br /> All bLmks mus[ . tilled in nr crnwced ain <br /> F.cerelt. - . �^' �._.___'_-_19� <br /> i __.__ _ <br /> TO "1'HF.SUI'1?RINTI?NUIiN'I' � THg WpTIiR UEI'AR7'�1IiK1'. <br /> 1'1'OF'('.'iF,REI'T: <br /> I henhy appk fnr the usc o(���ater in accortiancr with thc rules and reRula <br /> iinm of The 1Vater Uzpartnt•nt. fnr purynses and fixlw'es sla�ed bclo�r. <br /> DurinR[he time that :my af the watcr mains may be tnken up by rca�on of <br /> an}'imVrnvements aitlhori>ed b� the l'iq' of E�'crett.in or o( any slrcel nr allcy in <br /> �rhith UirY maY have been laid, the Ciq'�rill nal 6c rrquired lu lumish waler durin� <br /> the prngress o(such improeemenls lu any tonswner whn�c cupplp ma$ thus Le cul <br /> off.ur bc liable for any�djnmaK�.•±yfnr❑its 6�ilure so lo du. <br /> Applirn�ion No.'_�`��/_�'✓_'__ <br /> / �7 <br /> Illock `J". _"' __� '���L'�",_� /-. __(�_/_Add._. _. _. . <br /> \a... ."� � � �. "`i'f`� _.".!_.'..Sircet �_ . <br /> '1'he w•nrA lo hc eseculrJ bS.. ..-'--'-_"_ . . - - .__ . ..- Pluntber <br /> tilaie. ,• �(1a��. <br /> �� ���/// a <br /> 3 N�r�����he inserted in lhe main �yp /� U <br /> , � � <br /> ������«i��«�� <br /> _ �i,�h <br /> v���„i <br /> "_ _.Pl�in fauccl insidc <br /> ___.__.SiAe�calk w�n�her <br /> _ __._..._Iloce 6ib uutsiJe . <br /> ___"'.._.Iluse hib far buildinF P�vpuses <br /> ______Il��sc6ibinsidr . ' <br /> _""""Iiib(orslahlccnntaininR_-----_ .. .slall___. ..... <br /> __ _'I�untbcr of pere�ns in tamily r <br /> -._�___Num6er of rurms in building <br /> "1'he Premiscs nre to 6e used as a- '_ . .-_.--_._._... ___. . .... <br /> . .I'henw'neru(thePreaiisesis .____--__--__ _ ...______. <br /> "1'hcaKentis .__' ___.... ________._.. . . .. ..... ...._ . <br /> 7'hi� apPlication.nithouµh �ignrd.sh�ll nnl bc bindiu�uP���� Ihc Cily. unlil ao <br /> ��Ird by 'fhe SuP�nn�cnd nl u!Ihr 1K�ler Ueparimcnt. <br /> Yn <br /> Sluncd . _/__.��.�� - r�pliranl <br /> r.d �.�-���Yf R " �; . !iQ/�_."_"__ <br /> �. �.��e�i��.:��, <br /> � <br />