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I � <br /> ,.�. T�� �..5 - �'.� . "Z.R /�� <br /> ' R'. D. Pran 1 I500 d-I-1]C.P. � <br /> CITY OF EVERETT==Water Department <br /> Application for Water <br /> All blanks must bc filled in ot crnssec oul <br /> ILCCICtt� _�/___ "_ __"".__'__. _"___'_'_-IVCV.�- <br /> ro �riie sut�rHi��•e:aur:ar o�>�•ue«�,��rra nr•.rn�rre�r:n�r. <br /> cr�t'ur r�n:Ks�•T: <br /> 1 hereby apply for lhe uu uf�valer in nccnrdance wilh the rulcs nnd reHula- <br /> !i:�n:o('1'he�.Vater U:parlment. !or purposes :md fi#�vec sialed belnw. <br /> Dmin¢the timc Ihal �my uf Ihr�vatcr mains in:�y be laken up by rcason��( <br /> �anc imnruvemenls aulhnrizeJ br Ihe Cilp u(IivcrMl.in n��d anp strccl �rt allry in <br /> �,chich ihe7' ����Y hnve been I:�id. tlic Citc will nnt bc rcquired ta Iw�nish H�ater during <br /> the PruGress u(such imprmem^nls ro nny consumer �chose supply may lhus be tul <br /> �dl,on c� linhlc irr an>'Jnmatioa for its failure so lo dn. <br /> Applirnlinn No._����--��-"_ <br /> Bir.ck ..___r_� .. -.Lot_'~.-__-_ - __..WJ._ - .______.... <br /> \��,._�.3_3�L-_._.��(/t/LffKd...�?��^'«treet <br /> ..._.. .___.. ______ _ ___________ ______. ...._._ __.. <br /> 'fhe x�ork to be execuled b��_._ "'_'_""' '_' -_ '.__ ... -__ Plumber <br /> Statc/sizu nf tap. <br /> ./Jx��_9'ap la be insenrd in thc main. <br /> � _'\V:�tcr cluset � � Q� <br /> .._ ___ ..I3aUi ;,��^ `w` <. ��. . <br /> � `},� ', ''� �1 <br /> _. . ._.. .Urinal i�,"^� � 1�� `k ��� � � . <br /> : y � . <br /> _.__.__Plain (aucctinsidc �1 . . � <br /> '_""'_Sidewalkaasher �ll 1:\��`\ 1 <br /> � <br /> __.._HoseUibnutsidc ��'� �� 4, <br /> .._____Ibse bib for 6uilding purposes � ��'"" �. � . <br /> �`��....�'',. <br /> "_Hosc bib insidc M ' <br /> . •.i•'t�,f ,•" <br /> '__"_'_13ib(nrslablctonlaininF._"-.- _ .s�:Jl___ _"'�--. ." <br /> - '__.Kuntbcr of persons in family <br /> ._"_"..\umbcr of rrnnna in building <br /> 'I'hepremisesarelobru�cdasa_-_.____..._._.... .. .- _.__.._. ._._- <br /> 'I�hrowneru(Ih��premisesis __"... .._... _._ . _.. _. __ "."'____ <br /> "I'he agcnl is .'__' _-_._._. __-"'____"_ "_'.'_ '____"'. '-_"__"_ <br /> 9'Lis npplitaliun.:�ltliouAh si�ned, shall �wl bc hindiuF:upon the Ciry•. un�il ac <br /> r;ptcd by 9�hc Superimcndenl of�i��cr .�rlminL � <br /> � SiHned�.__'_'L"__�'.. _" _'__.. .�-/-APPlicant <br /> c ' ,/ <br /> :1<cepir ._ '��__. .1Q�6 R)' .�.��. --. . .._ ' _' _______--_ �. <br /> � _.i�e�enrndr..i <br /> � <br />