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W. D. Fmn 4 15G0 3-I-V C.'� <br />CITY OF EVERET7'==Water Department <br />Application for Water <br />,� <br />; <br />All blanks must 6c Glled iq'or'�rossed out /._ _ <br />Evemtt. _� --�{��-< <--_'- -_'191. <br />_� _ <br />'1'U TIIE SUPIiRINTGNU{iNT OP'CHIi WA'1'titLJ)L'PAI;?'MCN7'. <br />CPPY OF 1;7LRL'I"C <br />� <br />�y �. <br />1 hcrehy apply t��r the use ot «��ter in :icmrdance ��ith the rules and regula� <br />tiun; ��f 1'he \Va[er Uepartmcr.[. Gtt purp��as and fixtures �tated below. <br />U��ving d�e [ime that :�nS u( Ow �r�tcr mains may ba taken �p by ret�snn of <br />:my improvemeuts authorized bg the Cin• �d EvereU. in ur ��f anY street or alley in <br />`he � o�;rese�o( euchci rI�'�>vements U�znYVt�n.sum�cr�H6� ��('suppl� �m�ay�thus Ue•re�� <br />nl(. ��r be liabin tor an�damages for it ��ilure su In do. <br />APPlication No.. J� /•� L '-' <br />y._,. <br />..'_ ' .Add.___� __'".'_"_ .. <br />131ntk -. _._ ______Lat__._'__..___. - .. <br />_ , <br />���._Q_�-_-_c�n- f --=-1- �— — - sc«ci <br />- - <br />-- ---- __ -- — — -- <br />--- <br />��_�fheworktobeexecutrdby________________ _ <br />_'__ <br />__ <br />_____.____ Ylumler <br />SuLLe/y�Sze ��( taP. <br />�/�__'Cap tu bc insertcd in Ihc main. <br />__. _ � _. _�Vater closet Lr'� _. <br />-- / <br />---�---[3ath <br />Urin�l <br />_ _.. __- . -Pl;�in (auret inside , �: \ . ` . \ . <br />. . _ _ _' _' _Side a'alk washcr � ,. 1. '.\�'.'' <br />_ _.._Flose bib nutside � .�•:. � �• �, f ': <br />� �, <br />___'___.Ilose bib for bailding p��rposes � .1, <br />____'__.}loscbibinside ��. ��. . ,. <br />___13ibforstablecontnining ---.-----`lal�,___'---; ��,G <br />"" ». <br />,,.,NumUcr u( nersons in (amily { <br />. _� J,� � -�-, <br />_'Nomber nf raoms in 6uildinq /�:: y, <br />- - - -------- <br />- ----- <br />The Premisus are tn Uc usee as a_.. _.. _________ . <br />'Phemvnerufthepremisrsis __'__'-----------------�.�--___- <br />'fheaFcntfs.'----.._.--------'---- ��-------._-"'---- <br />. _'_______ <br />This :mPC::�tion� althnugh signeJ, shall nnl ba bindinF ��P���� Uie CitY.':amtil ao <br />cepted b}' The SuP�rinlendcnt u( he Nnler Dep.y}men4/_ ,..... ,.. <br />,,,�� !l <br />�ned . j�'y%2�Na'�! v ��-'��/�%�- /.'_� ApVlicnnt <br />��,���/// ��/-_.��,� �, �� -- - - <br />AcccPtect�-/�- . s��..ri����a«.i <br />� <br />