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F_Nr�. '� -/S-/9 /1� <br /> .� A v .V� : �. <br /> 1:�. p. Fo4� 4 ISGO 3-617 G.P. i.i I `- . <br /> �IT1' OF EVERETT==SVater De�artme�rt <br /> Applicatior� for Wat � <br /> AII blanks mus . Glled in or crossed oal <br /> Liveretl..��_ l _�-` -__'_.__191 -./--- <br /> TG 'I'HE SUPGRIDPfGNUIi\7'�'lIH 11':\"I'�DPP:112'C\lI•:N7', _ <br /> �fti� or r•.�;it��r•.�r•r <br /> I herebp:�p;l�� G�r t�e usz of.«;:�Prf�iit nccord:ince�.vith the rules and re6uL�� <br /> iion;u("Phe lVatcr :apa'un�nt. (nr pur'poa¢k';and fifitures sta[ed bdo«•. <br /> Uurin�; the time that any ni lhe watcr maiiu may be taken up 6y renson of <br /> r anv improvemrnts aulhorieed bv the City�( liverclt,in or nf anY strac[ nr alley in <br /> �chich they may h:ivc bee�� I;�id. thc City «•ill not bc required to furmsh�vatcr during <br /> tne prnFress af such imPrnven,enis tn any consumer �shns� supply may thus be rut <br /> nC[,or Lc li�ble (or:mS ���7��;�S�c/s (or its GiiWre so i�do. <br /> . .. ApPliartinnNa.'____/_.�./-�_'_'."' <br /> � � . ..l.ut____�'�7 �7'__Add.-__'__._"_."__ <br /> . 131uck __ __ ______ ____ - /---_<!�_ <br /> .��I-0.9_'-_q'1�'(7--'.�__ __ �iri <br /> \o._ _ --..Street <br /> '_"'__"""F_�!7_ � ,'"'_'__ ' "...'__'_-____' ""_"_"""'.____'__'_ <br /> 'fhewnrkwhce�ecutedbp-__-_______ _ _---_. . ._---._.. ... -_ FlumLer . <br /> Siate siz� f tap. <br /> _/��Tap to bc inscr�._J in lhe main. . <br /> ____��e____1\'ater dusct <br /> _"!--q.__13ath �/ <br /> _ _Urinal �.�� .��" � <br /> ,:: . <br /> _'__.__ . t-• <br /> .<, v" —...�� ,..,�. <br /> ___'______1'lainf:mceimside ����;..� .� . <br /> _.Sidc �vali< �eashcr � �l � � i �' '•..e � <br />� -. ___ ,; f . ��� �t � .. <br /> __"._Ilose bib uutside i:� ' ,'.�1��-. • ��: <br /> __Ilo=e L�h (or br.ildin};Purposes g ' ;. . <br /> .___'__ • n , .\ . <br /> Hasc bib inside t`� J�{l �•L;.' J�'' .y� <br /> __ ._'__ �. • <br /> __ � . <br /> i\ �'�,�_�J;i,.- <br /> _'-'.'_"_lSibforsta6lecontaimng._'_____.__. cliS.�__'-�„ 7'. .� <br /> i_.,_ ; <br /> 3r � <br /> "Number o(peryons in fnmily ,\-.,+..,t-�.-.�'„�Y�, <br /> __�_'Nunti,.r o(ruonis in Uuildinq •' i.�,��,_�/� <br /> "I'hePremises:u'e[ubeuseda�.:a_______________________'_"___"_____ __.._. <br /> 'Che nwner o(tlte premiaes is '_'_'___"_"_.' ' _'.'_'_"__'_"""__ <br /> 7'hc :iCentis "_'_.___. .... _____________" .__- .'.___-.___. .'..___. ._..__- <br /> 'Phis npplicatinn, althou};h siH���'�I,shall nnt hr bindirg upun the CiIY� until ao <br /> cepted Ly The Superintendeut o(the �Vnt�r Dep:rcfn���7 � <br /> � //�(�' � <br />'�I $it:ned__..____�- ___- ��___-.J-"-7'--"'_'ApPlican <br /> i {�../ ' / � <br /> :\tcePtetl.'�/�r_`/-f--'_1� It>�___"""'_'._"' <br /> / / 5•.yerlmer <br />� <br />� <br />: <br /> i <br /> �.�..,..___._ �.�.,_ _.... "_ _ -.. <br />