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/ ,,;,_,: 'i ��—p/9 !/ <br /> - � _ , fL' <br /> W. D. Fmm { IStJ �.I-1:C.P. <br /> CITY OF EVERETT==�Vater Deplrtment <br /> Applicatior� for Water <br /> All 61an1<s must bc filled in or crnssed uut � <br /> livcrcll. -_ . ..'�__" ':91l--_. <br /> � �C <br /> 'I'U l'l1E SUPBNI\'I'IiNUI?\'I'OF"I'lIG NS\'I'IiR UISP:\RTMI?N1', <br /> CI'1"i UP H`/I?kIiTT: <br /> 1 herehy apph• 6,r the iur uf wab�r in nccnrdance�rith the rules:m i regul:r <br /> i i m;�.�i�I'he 1Vatcr UrparUn�nt, (���'p��rpnscs and lislures statcd bclotc. <br /> Uarin;; the lime that anc ni thi•�ea[cr mains may 6�� laken up by reas�m o( <br /> :�oc imVrnvemenls nutlw�ized h�� the Cily o( licemil.in n�nt :my Strecl �tt alle>' in <br /> �cl�ich they nr�l'have bren I;�id. Ihe Cih'��'ill not be reqoirod lo furnish��'�ler durinF <br /> the Pro�;re�s uf such imprnvements tn an>'cansumer n�ho.c supply mac ihu^he cui <br /> nif. or be li��blc fur anc dan ' : Ln ils(:�ilnru sn to du. <br /> �) n <br /> e\Pplirntinn Nn.�� ..Y"_-' _-' /y <br /> Block�./.� � _ _.Lm �_�__ .._�.Z _'_'Add..b«�<C�� <br /> ___ . <br /> Vu._f'�4�� - .�-�Strcet <br /> ��. _ <br /> . .___.__' __._" <br /> . .._.______ ____ _ _______'_ .. --._._._ - Plumber <br /> 'I'he �cark to be ezen�led b)' . .-'- '-"' . .-.. . . - - - <br /> 5latc/s�p,e/�,f I:ip. <br /> . ._ /.��!�'I'aP tn be inserted in tl�e main. � <br /> ._ \Vater daset � �.. <br /> ___'__.liath . . _... <br /> __.____ .Urin;il ` . ;� 1 ' . <br /> n � <br /> . .___'__Pininfaucetinsidc ��I'.f�1�,//1�-,\l� '� . <br /> "Sidc�cnik�vashcr � ��1' '� <br /> ^f � <br /> --- �., � <br /> __Iloscbiboutside t� �1:. � r , <br /> — - Y1 — <br /> __I losc bib far building Pu os . . <br /> .��_"�' Ilosc bih i::cidc � ��e' ` � . <br /> ___.. 7..:_:,-r.- t .�. <br /> .� <br /> � , , � -•' � ,- . <br /> I4ib(urs:ai!^_..nntaininF__'�. "—:_IFII�r ::-".�._ <br /> -'_'_""_ *�.'-,._' � <br /> Numbrr o[persuns in ��unily <br /> �'"_'Numbcr of ronms in building <br /> '1'hePremisesaretnbcusedasa__ .. . "'..._' -'_'_--_'- ""_' <br /> "fhemrncrufthePremisesis -"'_. . -.-__'_"'_'___'_'_"___. <br /> . '____'" '__.'__"__'__'_""'_"_- <br /> Thcapent�s ..-_" _-._____ <br /> This .�pplicatinn,altlmugL signcd.shall nol 6c bindin�;upnn Ihe fit7. until ao <br /> ceptc�l b�"Phe S�iperintemlent nf Ilu:1\'aler DeP��Unenl. �. <br /> [' �/�'J "__"_ApPlicfnt� <br /> SiKneJ __�!_./�(4 __._.. <br /> - � f <br /> � , <br /> ,,��•,�,��i � -f D — �"k� ia,.,. _ _ ------ <br /> _ .-��,���.�„ <br /> • <br /> � • <br />