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i=nivv >'-30 -� /17/ <br />W. D. fcrm � I500 3-1-I ] G. P. <br />GITY OF EVERETT==Water Departrnent <br />Applicaticon for �'at�r <br />AII blanks must be iillc� � ir crass ii 1�7�u1� � <br />Bvcrett�.. ��/�j��/�y�-.,--�--r--19t�Lr-- <br />'PO '1'HE SUPCNIti'PENDIiN'f OP TIiE NA -CI9 2 DEPAR7'MISNT, <br />CI'1'Y OF E`/ERE7'T: <br />I here6y appiy f��r the use o( �vater in accordance with the rules and regula- <br />tinns a( 7'he Water D:p�rtnrmt. tnr purpuses .wd fiztures sta[ecl belmv. <br />During Uie time that :my oi the x�ater mains may be taken up bY reason o( <br />;mY impruvements nutliorizeJ bc thc City ct 8ecrclr, iu or of anY strcc[ or nlley in <br />which the}' m;�5' have been laid. the CitS' «'ill not bc required tu (urni�h �sater durinF <br />the progress o( such improvements tn any con�umer whuse supply ma}' thus be cul <br />ol(. or be liable for any dam;iRes (���s (ailure sn tn du. <br />� .. <br />Applicntion No. _ 7/ a.. _t' � _ . _ _ - <br />Blnck -----LuL----'----' ----'--'--Add..----'- ----�--"-�-- <br />---'----- - - <br />v�,..�_8d Z--- �--`�-------- - -.sv��.� <br />-- - -- ---- - ------- - --------- - --- ---------- --- <br />'fhe wurk lo be executed bY �------'-----'------�----------- Plumber <br />Slate $!'ic o( tap. <br />/ <br />.-_ �'Cnp ta hc inscrtcd in the main. <br />/ , , <br />� \Vatc� doset /� � <br />_"_/'_ Bath � __.. - <br />-_--..._ .Urinal <br />..___._...Plain (aucet insidc <br />_-___Side walk washcr �� �. , � � � i <br />;�i <br />_. _.._Hnse bib uutaide . . . i \ � . . <br />._.______.tiosebibfarbuildingpurposes . . . <br />__.___Ri6forstablecunta�mnR �4 -.'� _'t'-SC_� ' �: <br />� � r, <br />_ _ Hosc Lib inside stnll_' <br />_" . . �__ H�'�..�: <br />_Number uf persuns in [amily � 4,: -/ � �. <br />___� ^ � . <br />-�____Number uf roams in bmldinR ' ��� �¢ ��. <br />'fhe premises are tn be used as a..._. . .•� T.. <br />.__..__'__.._'.__' '_'___._._' """ <br />"phc mvncra(thepremis-esis ______...__-_.... ._._____"__.___'_'__"'__' <br />Thca�;entis ____.-_ ._._._.._.____ _.-._.__..___'__._- _..-.___. <br />This aPPlicn[ion, altlioul:h signed, sh.�Il nol bc himling uo��n the City. un1i1 ao <br />repted by "fhe SuperintenJen[ ���he 1V�der U j �ne�. \ <br />'i . .� /� . � .✓ \ �� <br />Si�;ned_.L;�/:!�/,�t"� :lU�;r:�i�El'"<`l_'_'_____rcpPiican[ <br />_. \ \ <br />Ac�mp�ed. �_� �--_lY1" . Rv ���._ <br />/ / <br />' -'-�"-"-""�Superimm�dem " <br />C <br />