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i <br />� <br />� <br />� <br />� <br />�' <br /> i <br /> F <br /> - � <yrz, a-.-z3c , - - . . <br /> � . .. � niT� S-�4C',z3-17r <br /> N'. D. Fcne t I500 J-1-1 7 C.P. � <br /> �CtTY OF EVCRETT==Water Department <br /> Application for V6TaAte� <br /> All bianks must bc�i Icd in nr crossed out // <br /> .// - � <br /> �7� K/. �j/ <br /> Everett�..__ ____.__' _"/ . .�""___'19Y.._'_' <br /> TO TIIE SUPIiRINTENUEN'1'OF'PHG 1Y,\TER DIiPAR'PM1fENT, <br /> CI'1'Y OP H`JGRETT: <br /> 1 hereby apply (nr the use nf water in accordnnce witli the rules and rtgula• <br /> tinns u('Phe Nater Uepartm�n6 for purposes and fistures suted beluw. <br /> Uuring the tiinc Ihat anp of the�eaecr mains may be taken up by reason o( <br /> any�improvements authorized br tl�e Cito of Evcrett,in ur o( an)' slrcet or allcy in <br /> which thc)m�p haee been laid, thr City aill nat bc required to(umish watcr during <br /> the prnRrcss of such imprrnements In any ennsumer w�hnse supply may lhus be cut <br /> aff, nr 6c liable fnr any/dqautagcps for its tailure so to do. <br /> AppliCnlinnNo._C_1_'� ./._'_"_'_ ,. . <br /> I31nck .----�'_c_5_ �- -Lot----'-'�-------'-AJd.--"-------'----' <br /> - Strect <br /> . No._ �`�V_��-- "._'___'_c�""__""__' <br /> i <br /> � , _""'___'._._'_"' ' '_'___"'___.""'__"'__""_'_____"_'____""____"_. <br />', 'fhr ��rork to 6e eaecuted by._"_'____"'_'."_______"'____""'_' Plumber <br />' State s)ze of tap. <br /> i / <br /> j ___�(_�'"Pnp to Ue inscrted in the main. � / � � <br /> ( <br />� . . __"'__("'Watcreloset <br /> '�_'_Bath ' <br /> "_" ' .Urinal <br /> I """'___Plain faucet insidc .�. <br /> �.:'; �,q ., <br /> - ___Sidc wnik w�shcr . <br /> . '_""' ''; �•��� .'�' <br />� , _"'_'-_._Hosebiboutsidc . � '. Y . <br /> i . : � � '. , �,. <br /> . . _""'___'Hose6ibforbuildingVur nses � �`t � <br /> - :. .Hosc bib insiJe Jr. <br /> . <br /> . . _'_""_ J '. <br /> I . i __""_ oll �..__" <br /> "[3ib(or stnblc contammg.______.___st,. <br /> . .. � � "____,/__"Numbero(pervnnsinfamily � � � <br /> __.7__"Nwn6er a(ranms in 6wlding / <br /> �� s`�"^`,6�*:.•. .`.• ' ". , The Vrcmises are ta bc used �s a/�: //-. �,'`�� f��._.. <br /> i � ., , .. . � � � .fhe mrncr nf the premises is ."/! l?" ' " �����r[I ____ <br />; i _ The aKent is _'_""_""'__ .'_""__""""'"'l/_""_"'"'_ <br /> i <br /> i . . This appiication, �Ithough signed, shall not br bindinq upcm lhc Cily, until ao <br /> epted by Thc SuperintencJ�-�Luf��c\ye�er Dcpartmenl <br />�I SiHned v �.L../�� ��__.ApPlicant <br /> � � .. <br /> ' Accepled._��_�•'�'_'�-� I3Y_�i�T'_"_""".__""""__" <br /> i / superinienaso� <br /> / <br />