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�.r � . . �-..--�3'� <br />r�.. . .. - - - - -- <br />,�y . . 9�� �-617 C. P. <br />�F EVERETT==Water Depar:ment <br />A�aplicatfio� for Water <br />;;1I blanks must be filled in ur crossed �yyy���� <br />— �//�o ... <br />Gvemtt.--------- /--_.'---------191�'-� . <br />TO 'I'1-IB 3UPERIN'fGNDIi^1'f �' fT'� I� H.`BRE 1'DrPAR1'MGN'C, <br />1 herrbS :�1'PIY (��r d�e use of «'ater in :�ca�rlance wiq� the rules and reg��l:�- <br />ti:m; ��('1'te 1Vater Uaparuu:nt. (ur purP���s :md fix[ures stated bclme. b reason o( <br />During the time Caat any ol the wae�•r msins ina>' be taken up Y <br />aac imnrneements authorized bp the Citc o( l:verrtt. in ar nt an.' sVicet or :dley in <br />u•hich d�rY m�s' L:�ve been laid. [he CitS' �vill nut l�e raiuired tn furnish water during .. <br />ol(, ur �be Iyable (ur':mY'<�ro^`�� 511for itstf:iiluresso to doi���se supply may thus be cue <br />? �%q_i____'_' <br />.\PPlicn[iun Nu._'_' __" ' ,� <br />S�� .'__"Add.��_.__.___ � -2, �� <br />1 1_._._ ._-._Lnt____"________ <br />__ _ _ <br />Bluc.k ._____ ' <br />/ /z '� �.. -_. Street <br />Nu.'"'�7 "_'_' '_�_-__ <br />'_". _-_ <br />___""__-___'__ <br />"_'__"'_'___'___' <br />___._ <br />"_"_'__'" ' '__ PIwnU�r <br />'Chc �cork ta bc creculcd bl'.___.___._._ <br />'._ _.___.____._____ <br />Statc size o( tap. o O <br />_��{.�_" Cnp [o bc inserteJ in the main. �� �— I S�._, <br />/L <br />_' _ �" _' _R'. tcr clnsrt <br />.__�'___'.l3:th <br />- _.__ .Urin�l <br />_'_____PL':in faucet insidc ,. <br />__ ___.__SiJew:dkwashcr ,� � <br />_ '� <br />-..______Ilosebib��utside . . i ; <br />.__ '__.'.Hosuu biL (orbuilding Purpases / . <br />-_ __"___1!oscbibinsidc � <br />.. _.'__I3ib(crsuiblecon[aininK___'___'___stail__� "____ <br />__.Z __Number u( Pcrsuns in (:�mily <br />___' �'J'_Number u( runms in Lmildinf; � <br />___._ `� -_ _____' <br />'1'he premises am to b� used as a----' �-_ �- ------�----- /, _ � J��_`. <br />i� ��i�.�Gl�d . _ L,Q" _ _ . _ _. <br />'Che oe�ner of [he Premisrs is' _.-_ _ <br />_"__"__'_"'_.' /_ <br />_____'____ <br />The ngentis' ___..___'..'_. _-.'-_'__.___' ._._-_'.____..'_'_' • <br />�rn�s :�i,n�����i���,. ;aa,��e�� s�sned, sh,u nul he bindinS ��pnn the City, until nc <br />epted by "Ch� Superintendent �� tl j,9ntcr Uepar�tq,ent % <br />� � �DFJ`V 4 lic:mt <br />TSimed---------- G�------------'--- PP <br />5 /f�"_�_ � ' <br />_ , <br />; <br />i .. lql- 14v.�:. �'__'._' _'__"I"'imem.em � <br />:\ccepted- -_ -_ _ "____'_ ' Sr,sr <br />