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\V. D.1Form a I500 3-i-17 G.P. y' <br /> G[TY OF EVERETT-=Water Department <br /> � <br /> Application f��r Water <br /> pll blanks must be filled in �r crnssed��ut <br /> Evcrett... -_. ._!_-�--I-..-_-]91�"-d . <br /> TO TN;i SUYtiRINTENDEN'1'�1�'1''(F`fiIERETT YARTTIENT, � <br /> 1 herehy avP�Y���r 1he use���M'��er in accnrdance�•ilh the rules and requla� <br /> tinm of The Watcr DeP�rtmrnt,t��r purp��ses and fiztmrs stated bdow. <br /> During[hr lime that anp��f the���:�ter mains inaor nf`anyn�Vicet�nrealle} in <br /> nny improvements authorized bv the Citv o(fivereit, <br /> �ehich they maY have been laid, lhe CiIY Will mrt be reQuired lo Iwni�h walef during <br /> the pr�gress of auch improveinents tn an5'cnnsumer whnse cupply ma3•thus be� <br /> o((,or bc Iiabic f��r any damages fm� its L•�ilure so lo do. <br /> ppplicnlionNo.'-"-� ,�'-_�.�"" �� � Q � � � � <br /> Nlnc __Lul.--____..--... -_. <br /> Add__.-----`^''�-v"'_=�-" <br /> "'_"__ ' <br /> _- J-i� 6.5_i-7. 3---.Stre�t <br /> Nn.. _ . _.-- -._ " - <br /> 5-��_ - - <br /> �� -------- - -- <br /> - <br /> - ---- . <br /> -- --- <br /> - - <br /> ---'�— _. Plumrer <br /> .auled b —"— -'---"'-" <br /> __._____._ <br /> 'fhe wurk u�be 7'--� --- <br /> Sta� size nf taP. _ . .. <br /> ��f__..Tap to bc rt�seded in the main. <br /> -._______1Vatcr dn�r. <br /> ._.__._-.Uath <br /> _. .__ .Urinal <br /> ____.___Plain (aucetiusidc <br /> �� . .Side aalk wasnrt <br /> _ 1{��sc bib�mtsiJe <br /> ... linse bib for building p�rp��sr+ <br /> __""_Hosc bib insidc �` <br /> .'____-_15ibfurstablecuntaininK.--------st.11 - . ._-- <br /> ' ._.._Number of Pcrsuns in (amily <br /> ________Nwnber of raums in br.ildirR <br /> '_"_- <br /> _-.. - <br /> __. ..-_' <br /> '1'hc prm»Iscs nrc lo >c usec as= ---� - <br /> ' ___. __'__'_'_ <br /> Tl�e ox�ncr��f U�e premrses i. _-""' <br /> __" <br /> ._.._'_'_ _ <br /> .__-_ __..__'._. <br /> 7'henRenlis __.._.-__._.- ._--________ .-- __.--. untilac- <br /> This applieation, nllhouFh siKn��J,shall nut bc bindinK��P^° ihc CitY. <br /> cePted hy"Che Superiniendent u(thc \Vnter Ueparunenl. <br /> SigneJ_"_"-_-._ . --_-'-.-.-.-.' <br /> _- <br /> ._.________APVlicant <br /> : .-- _ ._._____..__._ <br /> � __�6' By__-_" ._.'__ <br /> ArccUted...__.-_-'_'__. Sui�.nmenoc.� <br /> f, r. <br /> t'.:� ", �/l/.9r.• �_ <br /> „ r <br />