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- r " _ ' � <br /> p:D�Fa+m� I500 d-1-17 G.P. <br /> G1�Y OF EVERETT-=V�'ater Department <br /> ' Application for Water <br /> , <br /> ' � p11 blank! musl be filled in��crosred oul <br /> �. -.���__'_-'191��- . <br /> � ticerett.____..____"'____'_' <br /> TO THE SUYERINTF.NDIiN'C O TYH,�EIERETTEPAKTMtiNT, <br /> I hcrehy aPP�Y f��r thc use��f��'t��qes mul fixWres sta ed�bcb�rs and re6ulm . <br /> !iuns nf The Wa[er DeP�rtment. (�r purp street or a11cY in <br /> During the time that any�f the water m::���s mny be [aken up hy reason�t <br /> any im�iravements authorized b)' the��!w°.°II nnt be requ r d ta lumish weter durin(e <br /> which thry• maY ��ave heen laid,thc City <br /> �((,or bc liablc tonmY d moK�Q+for�ils(���u esso��do'���e s��pp�Y ���'V lhus c cu <br /> ppplicatinnNo._-.�-.�.`6-I--- � ��� <br /> _"_ <br /> 131cek --;' --� <br /> ..Lot_'_"__..' _-_".AddeL-1--- � ' "' <br /> ____... <br /> ��-�, f4_�.7.-3.---s«��� _. . <br /> �, _ r 'J���:._. <br /> �,.. --- --°�_. � <br /> ---- � <br /> ._____'����-_.�-_..'���� Plumber <br /> __._'__.'_ .. <br /> _________ - <br /> 'Phe work lo fic executed bY----'----'-- ' . <br /> Stale size��f tap. p <br /> ��{_'..Tap to be inser�ed M the main. � � � l Z <br /> _'___ <br /> R'ater clout <br /> }lath <br /> �---_Urinal <br /> __'_"____Plain iaucet insidc <br /> .�-�-._Side walk washer <br /> �p�t.G�_11om bib oulside <br /> � <br /> �--�_Hose bib farhuildinK P����P"ses <br /> -_�_—___Husc bi6 inside <br /> -- ._stall._'---"" <br /> _�.Bi6(orstablc containinK..=----'�- <br /> ,�-�,.L._.Numher at prrs��ns in fninilY <br /> "��07-_Number nf rooms in building _ <br /> s � _ -. -__ <br /> _�-�'�'�"'�----""_'" <br /> TM1e premises are to bc used as a .--�J�f!f', _��__ <br /> The owner�if the premises is .---� <br /> �� <br /> ""'..___'.____" <br /> The neent is .__r-�.c."r�-...--------�-- ���----�-� nn the CitY. until ae <br /> 'Phis �PPlication.�IUiouKh signed,shall not bc bindinµup <br /> cepled by The Superimendent o�thc Wnter Deparlmeqt-� �; <br /> i <br /> �' �l�g '__ppplicnnt <br /> d ' _�`C -�7-'••. _ <br /> I�inL SiRned_ ._""""i"' - <br /> ._____"_'_'_"_ <br /> AcccPted. --.__.__._'__.._.191 IlY_____"__'__'__ cur.iniene��� <br /> ��.�..�� ��G'�,� � <br /> ;�r _ _ <br />