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��� <br />����-) s-�., <br />� ��o�: �..� - - <br />,; : `1 OF E1'E►.ET�['= "jti'ater Department <br />. Applicatio� for Water <br />All blanks must 6c filled in or crossed ��ut <br />�7 � , <br />Hverett......._ _'__ ...___'_____1 ._,_- <br />= �y=- - -- <br />TO l'HE SUPGRIN'fBNUIiN'1' OP'fHli NA7'ER DGPAH'PMEI�T, <br />CI7'Y OP G`/ERETT: <br />I hrmby:ipply i��r ihe use o( water in accordance �rith the rules �nd regula� <br />!ioiu ni 'Phe Nater Dapartm_nt, for purposes �md fisWres stated bclaw. <br />Durinq Ihe timr �ha[ any of the wuler nuiins may be taken up by reason o( <br />:mp intprnvements authurized Lp the Ciq� of Everet[, in nr uf tm}• sVicet ��r allry in <br />a�hich [hev maY have been laid. ihe City �s•ill not he required tn lurnish a�aler durinR <br />the prnFresx of s�ch improvements to any ronsumrr whnse supph� may thus hi• cut <br />ntf. nr be liablc (nr:mq dapm:igcs (/ur its fuilore sc to da. <br />:1Pplirntiun No.' �_L-�S` -"'-"' <br />131uck '_'-__•" '__ _LnL'"'___'_____'_'_Add ..... _. _.._. _ . <br />��,.-- jo 6'= � 3 �_ ��-----..s«<.�� <br />-- -- ------- ------ - - - - - ---- - - ---__--- <br />9�he wurk to he rxcanrd Up.-_.._._._____ ____.-_'._._...-_____ Plumbcr <br />St�ite si�.c d tap. �.�, ��G � � <br />... /�'fap tn be inscrted in thc main. <br />R'atcr duset { <br />-' ___.__ I;alli �f/ O-'Pl �-2AJ <br />� <br />'� /1 <br />.Urinal ��II (� `� l/ <br />. .._____ Pl:�in faucet inside <br />... _"_Sidc walk �cashcr <br />_ _ _ _ _ _ _..'@��sr bi6 nutside <br />. _.. __ _ _ _ . Hose bib (nC building purpnces <br />, .______-Hoscbibinside <br />-..___'-"_Hibior.tablecuntaining._.__.___st:ill_ __.._ �/ <br />__'..___.Nmnbcrof persunsin family. / <br />(/ <br />._.__.'__NumberofronmsinbuildinR . <br />7'hePremisesm'etubeusedas:��._._..- ----��-- --- .. <br />"' <br />_ <br />� ' <br />The u�ener nf the Prci i�E9is ___ _.�'��- l_. _--___. ___'___'__:"1__'-.__. <br />�/ —_ <<� <br />"ChenSent is____'- - ' -_. __.._- __--___ '_____ ___________._._ .___ <br />This apDlication, although �igned. shall nm bc binJin�; upon thc City, until ao <br />cepted bY �i'he Superimend`•p � f he 1Vat •r Ur u�tmyn . . <br />SiHned _- l . r% _.._ -- ---- . .Apj�lirmt <br />_________ ____ ___ , <br />. <br />. ' `/� / <br />:1.repted.V�r-?%�'--�{� By'�G�7--��.�__'..__. <br />� '� � — �' ���.i��i<�<.-i <br />� <br />