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/` . �� <br /> ��T�J J -� _. . . � <br /> W.D. Fcrn � I500 J-1-17 C.P. <br /> GITV OF EVERETT==Water Department <br /> �---_ <br /> Application for W�ter <br /> A11 blanks must be filled in or crosscd mi <br /> Gvcrctt, __- --- <br /> �� - ---- ��� - <br /> 'PU 7'HE SUYIiRIN"1'LNDI;N"P�,�Y�UP F.V[•;ggl'T:TART�11iN7'. <br /> I herebY applY (��r th�use uf e'ater in :iccordanm��'ith the rules and regula� <br /> tlntu��f l�hc Nalef DeP�rlm����t, for p�irP��ci•s and fistw�es stated bclow. <br /> DurinK the".ime lhat nny of lhe water mains mn)'6r :nken up by rcason of <br /> :my impravcinants a•ithorized 6p the City o[C�'�rett.in oi o! anY ��rcet ��� .IIeY in <br /> which[hcy maY hnve hecn h:L•I. thr City ��'ill not Uc m9��ired to fumish water durinF. <br /> thc Pru�!rcvs nf sudt imp�ovmn�fn:c lo�nv consumer w•hnsr supplp mny lhuc 6c cut <br /> u(L nr bc Iiable(or anv dam'�Ke�f��r i�s taih�rr so lu do. <br /> � ' ' <br /> Applindinn Na._��-`) �" <br /> '_'._ <br /> '_'_".AdJ'_'..._ __ .. <br /> Block .___Lot___"_'_'-_. <br /> __-_ <br /> "_"'_'_ <br /> - <br /> �,J1�.� �'" ' '___ ' __' Sircet <br /> \a._. _ <br /> ' "_".'__'__'-- <br /> ......_ _'_"'___""__'_"""""__ <br /> '__'__"_""'__"__ <br /> ."_'___'__'_ PWn� cr <br /> 'fhc�enrk tu he raccutcd 65'-'__'____' ".. _ <br /> sta�r sYr,d �ap. <br /> ����_'Pap tn bc inscrted in lhc main. � / CJ (/G <br /> i <br /> ___'_'_Nater cluset ,'E., <br /> _RaUi ���( � �+`•��, <br /> -___-._ �4.7j^� (,l`; <br /> ._ ___ .Urinal %�l . I,i I • �'�. <br /> �. <br /> i C' <br /> _ ____._ Plninfaucctinsidc �� ��� ��� ��� „ <br /> '_'Sidc��•alk tr:�<her i �'I�/� '� '� �, ; <br /> '_"__._liose bib u�.�isidc S � 1 J:. . ' �� �� <br /> r.. <br /> ___ __._-IlosehiblorbuilJinKPu��P��ses P� ./ <br /> t <br /> ________.Iin�rbibinsidc y,�,i' � <br /> -�... <br /> . <br /> BibfarslahlcconlaininF-------=.InIL. {�.i ' if <br /> .. _ _ .__.Number n(Pcrsons in (:unily !. t�^y,w;;,�-� <br /> __'�_..Nwnbcr o(rooms in 6uilding <br /> . Thc premis'es.m u�be tuee as. ---.--- <br /> ._'_"'_-__ <br /> _ _ <br /> ._._.__. .__'.. <br /> 9'hi� owner af the Premises�s _______________ <br /> _.'_ <br /> .___________.____._____ <br /> - Thenecntis ._""_'_'.._._'_"___'_._ .._. ._._"__"_-'- -___'__' <br /> This- nPPlic:+tinn.:�ltliouuh signcd.sLall not br bindinp upon thc City. imlil ao <br /> cepled by'Che Superintendent of th�nter UeP�rintent. <br /> _�'• � _Li.�C.t�/ '_".__-.�. ."""_"..Applicant <br /> SiKncd ...�. . / , <br /> - �/ J n f'' <br /> _:_'. .!9RI� �iy_.t -__'..____'__'__"' <br /> A.repted/J.--. -'.-.-� �•- . :�. cm�er'i,i�ndem <br /> l - ,. . �/�:�- <br /> � , . <br />