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. _ /-_t / i . . !�I <br /> �� w. n. ro��„+ isco �-i-n c.r. <br /> CfTY OF EVERETT==VVater Department <br /> Applicatic+n for Wa er <br /> All blanks must � �i Icd in nr crossed o <br /> G � <br /> r:���«��.- .-- ' �- - - 19'1"O - <br /> ro •ri+r surr•.eivrr::vur:vr or• •riir•. wn •:a uei�neTnteN�•. <br /> crn�ur• �avr•.ise�••r: <br /> I hrrehc apply (or ilir u:;^nf wnter in accnrdani�e a�itli the rules and reR��la� <br /> ti�.u�:�d'Chc AVatcr D:parint�nt. lor purP^�cs :md lizlures slaiml bclow. <br /> Uuring lhc timc dta[ anp o( thc �va�cr mains may bc lakcn uP bY rcason of <br /> any imnruvements aulh iri>.ed bc the Ciq' uf liveretl,in ur o( :my strce� or al�ey in <br /> �vhizh they maY have be_n laid. Ihe Cily��'ill nut bc required In hu'nish k�aler durinl; <br /> tha Drnn,ress u(such imPrm�emrnls tn anp consunter �ehn�e supplp m:q' Ihus b��cu� <br /> ni(.nn c�li:lhle(nf:in)' d;in/l����;rv (or ils failure so t��do. <br /> J' .J. , <br /> Applirnllnn No."'"_""_" -_' "'_"'" <br /> 131ock .__ _.}yaL___'__"'_"_""_""" "Add_____ ._""___ . <br /> 7 _." --_ \ <br /> \u.'__',/'_''_�!/ `/�C_L..zt'_fit!�1�.Strcet <br /> ___".__"'__ ' .__' <br /> ___. .__"""'_'_""_""'_"_ <br /> _��,fheworktobceze<ulydhy -___ .___'_._. . . . ._._-_- .---.._' Plumbcr <br /> Slale ize u(lap. <br /> __�.��._ 'Pap lo be inseded in the main. <br /> _..___._ ' / / � �i <br /> .R'atcr duael ,_J ' <br /> _'__' .lialh -,.�r�-� <br /> _... ___. .Urinal , ,✓'t li��„'r`�=. <br /> ' _'_"__Plain faucet insidc .,"� j �1 � l .\`l`. <br /> � 1�`� �.��A ���e� � <br /> ' � ,y , �� <br /> ....'_".idc�valk�sashcr :� :. <br /> �- t <br /> _"'__._Hosebibuulside �� � /yyy� � �p} �'� <br /> . ,: � <br /> "'____'_.IloseUih (urbuildin{�Purpovev .,�//(j��)� p �� <br /> Ilosc bib inside • ' 1��•��� <br /> � '. <br /> _"""..liibfnrslabletunlaining _--_-_..__.lall_ •. r��"'�� <br /> . <br /> '__' '_'Number of persnns in (amily. M Y_-��` <br /> "_��__'Numbcr of rooms in huiiding ` ` / <br /> '1'hepremisesare�abeuseJasa_.._. .-__.-- .___... . ....... .. .. __.. <br /> . .I�he u�rner of lhc Prcmises is _""'_._._-._.. . .-' ""_ ..... -_""_.__ <br /> 'r. '1'hcal�cntis .'_'_ . __'_"'_. _'___'_ <br /> "fhi5 applicalinn, nithough siGncd.shall nul hc bin:linH��P���� Ihc Ciry�, !,��lil ac- <br /> �� by The tiuperin���ndent of Ihe lVnter DeP������enL � <br /> Sif:ncJ .'_"'_"___'""""_""_"___...'"_""j """""""_ApPlicant <br /> .' ' <br /> a«�niP��,.y�X �`-� �t�.r 'C_ / <br /> - -- <br /> � -._. ,- - - �:,�•���,.�,,.,� <br /> ��i <br />