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/=1�1 T� <br /> ` W.D. Farm� 1500 J4-17 G.P. `-�'� . ��; �.. " <br /> CITY, OF �VERE --W� � �r Department <br /> � <br /> - Application for Water <br /> AII hlanks must be filled in or crosse�� <br /> / ' , <br /> Everett.-___.___'_______"""____ _'_'_.__.191 �_/.-. <br /> TO 'THE SUPF.RINTENUEN7'OF THF WATER UEPARTMENT, <br /> -C!7'1' OF EVERETT: <br /> 1 hereby npp�Y�m the use of watcr in:�trnrdance with the niles and reFula� <br /> " tinn;��f Thc Waler Utparunen6 (�r purpoms nnd fistures stated bclow. <br /> Uuring the timc that any of thc watc�mains may bc taken up 6y rcason nf <br /> :my imprmements authorized hc thc Ci���ul Evcrclt.in or of any strcM or aIIrY in <br /> which they may� have been laid,tl�e City will not bc required to lurnish wa[er d� ring <br /> the proFress of�ucS imprmemenis tn any wnsumer whnse supply may �.�us be cut <br /> u(f,or be liable for a.ic damages Rair i[s L�ilirte sn In do. <br /> ' AVPlicn[inn Nn.'__���-.l____�— <br /> Nluck ..f-Z_' <br /> ..___tu�.._'___.._ __� (_�__.AdJ__.__ __._.__.__._'_ <br /> ����, <br /> No..___�"Z_� S_.._�0_!�'t1-�-�...F-�u v-'"'geet <br /> _'______ <br /> __..______ _-______.__...._______._______._ , <br /> 'fhe work to��e esecuted Uy.--- <br /> _._,. ___ Plumbcr <br /> $lale sizr�d lap. <br /> � y �� S �= <br /> __ �_.Tap to 1x invrned in the maia -_ I <br /> ____'_Wnterdnsel y <br /> ____--Ilalh <br /> Urinal <br /> _._. .__ . �t <br /> ______--_Plain faucetinside . <br /> ____._-SI(�C N'T��(N':IShCf <br /> ._.._Ho�e bib outside <br /> __--_._.Hosc bib(nr 6uildinK Uurpoccs <br /> '_'_"'__Hnse bib insidc <br /> . ._1Sib(nrstablecnntaining -----��--.�tall.-- .----- <br /> __._ .___.Numbrr nf perM�ns in t�mil>, <br /> ._____'__'Numbcr o(rumms in b��ildinq <br /> 'fhe premisev are to be usrd as a_ _ .--------'----""------� �--- ---" <br /> The nwner o(thc premises is ___��1L- --��-h-'Q'°-'Q--`--�------ <br /> . .._. _____""" _'_"'_""' <br /> Thcaucnt �s ___..-.__.- _____'____._ <br /> This applicatinn, althm�Nh siKned,shall not bc binding upon thc Cily. until ac- <br /> �cd by The Superintendent��<<hc Nnter Dep�runeN. <br /> Si4ned(l.tJ.1/�_o<SALlK'��"Lp'�� - -_""'_-"Applicanl <br /> ��-,�/f c� � <br /> i_ ' <br /> n�«w�a_/o�Z- — � - �� B�"-- 1. —s��,.,��.�;;�� . <br /> � ` <br /> � �,. Y.1' � �' . !�i�� <br /> � <br /> ,.r <br />