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� r1 -7-�.2� — :-�-' <br /> L=ri��.-� .. <br /> , '� " i� �- �r �� "' w � <br /> W. D. Fonn 4 ISCO .1-I.17 G.F. <br /> CITY OF EVERETT==Watcr Department <br /> ,l�pplic�*ian for Water <br /> AII blanks m.�st bc filled in ur crossed out <br /> ��.7___._._191�- <br /> Ecerett..._.'______'____'___./- _ <br /> 'PO 'CHG SUPERIN7'fiNDISN"I'OP'P11L•' �YA'fBF UGPARTil7I:N'I', <br /> CI"fY Or Ii91iItEl'1': <br /> I herehy apP1Y (�rr the use nf w�[er in .ceordanee with ihe rules and requla- <br /> tion���f"I'he Nacer DeP:�rtment. (or purD�ses and fixlurec stated beloo'. <br /> During the ti:nc th�[ :my o( �he w:iler m��ins inay be tlkenslrcet�5nreailev in <br /> ❑pl' improvements autho='izad hy [ne City uf Gvcrcll,in or o[ :�nY . <br /> �.r`�.iich theY �»�O' hnve becn I,�id. the City will �wt be requircd tn lurnish waler during <br /> the prn�;ress uf such imProveinenls tn:m}• consumer w�hnse suppl} mac thus be cut <br /> niL ��r be liablc k�r anY dn�''F°'f�� faifure so V�do. � <br /> ppplicntiouNo."-'____�-"_'__'_•" �Y .. <br /> L b /7 /8-/ ___Add_.__. . ._-_-�_._ _. <br /> RInc6 L/-�___ ___ __Lut._.__ ._._g_._ - <br /> _' i <br /> recl <br /> \n.____' _ -��'-2' 3�"2 _' _ _'_ " ." • <br /> . .. �� - --- <br /> .,; 5.� - 7b. U-�--_1 0__!_'^-- <br /> -- - ------- -- - - <br />. - - -�-�� _--- Plumbcr <br /> _..__ <br /> -'� ..-:_�'._____._ <br /> .etuted bV. .---- <br /> 'fhe wurk to I�c _____'_._ ' <br /> State size��(t:iP. , �, •' ,(�-`-� � <br /> �y�.'fap to Ue inserted in the main.�� - �� <br /> _____�___N:ucr closet <br /> Lath <br /> __. __' .Urinal <br /> ______Plain taucel insidc <br /> � ____"_Side�valk w.shcr <br /> .___.__llusc bib uutsidc <br /> ._____.___Huse 6ib for buil:ling p���"P��ses <br /> _____Husc bih inside . <br /> ..___'__'_ldib for s[aUle containiug.-'-------. <br /> .stnll -.---- <br /> ___.__'_.Number n(Pcrsons in family <br /> _aj_."_Numbcr ut ronn�s in building <br /> 'Che Premises- :ae:o �c usc <br /> asa .._. --._________'_' <br /> ""'__"'__ <br /> _ _ ___.'. <br /> , � l he uwner o(the nremises is _____._ <br /> __" <br /> ____ __________'_____'_'-_".____. <br /> �CI1L`pf:Clll15_.__"____. . _._. .__"__.____"."- --"-.-_'�--"______________ <br /> 7'his apDlica[ion,althuugh signed. shall not be 6inding upmi the CitY� tmtil ao <br /> crPtcd 65 The SuDerintenden[ of tho 1Vnler Departri�nt. ,_,r_/� /J/J <br /> . n y��� ��1�<Yi lic�int <br /> S�.Fncd_��.y.�R�•-.KY.lN.-___.u _ ,PP <br /> B _. <br /> - �pb/ _ .___"____..-_____'__' <br /> Accepted.-_-�------ -----,..( Y . 5�n�u:mencem <br /> � <br />� <br /> i <br />