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. � - L ry .r � . M1) . <br /> � � � <br /> N'. D. Fc m ! I500 d-L 1)C.P. <br /> GITY Or EVERi:TT�=Water Department <br /> � Applicat.ion for Water <br /> All blanks nmst bc fillcd in or crocccd nut <br /> Evcrelt� .____.__'._ _._'_�-Z �_.______197-'2_�__ � <br /> TO TNE SUf'F.RIt:TENDENT OF'fH6 WA�fER DEPARTMENT, <br /> Cil'1' OF EVERETT: � <br /> I hcreby.if•J�Y ���r ihe use o(water in acenrdance with the rulcs and regula� <br /> tiuns o!Tl•�c W:.ter Deparim_�nt, fnr purposes anA fixturcs staled bclow. , <br /> [iuring ti�e time thal an��of thc water mains may be laken up by reasnn of <br /> any improvcmenls authnrized by thr City nf Everetl, in or nf any sircet or allry in <br /> which they may have been laid, the City will not bc requircd tu lurnish water dnring � <br /> Ihe P���Kress n(euch imprnvrmrn[s tn any consumer who�e supplc may ihus be cut <br /> nff,o��bc Iiabic (or any AamaRcs for ils failure co lo du. , <br /> n�nr�an�� N�>._._7 65�------ <br /> ��i���x - 33� - —u��- ��— — - —_._aaa---?-.-'-: <br /> _.3_.- - <br /> .. \n.-___,6_�_�___ . __ _'.. _ Street <br /> 'Phew•orktobcrxecutedby_______________ _. .__. '_'____'.____ Plumbcr <br /> � <br /> Slale eizr of�ap. � <br /> �,�__Tap tn be ingerted in the main. 3 ` �� . <br /> O <br /> '_'�""'1Vaterclnsct _ _.__-----� � <br /> _.._"___.Uath ... <br /> -_. .'.' .Urinal <br /> ___"""Plain fauml inside <br /> ___.___Side x�alk washcr <br /> __. j <br /> ._Hnsebibuntside ` � . <br /> ._____.__.Ilosebibforbuildingpmpo�es �, �; `� <br /> "_'_'"_"Husc bib insidc � + J ' •`,/� <br /> 1 � J r <br /> __"""'_Bibfm�slablccnntaininq..__...'_._stall_'._.__"' :-�� j <br /> __'...___Nurobcr nf Pcr9uns in i�mily . ��,, . �• <br /> __�-'----Number n(moms in building n� �,_� <br /> 7'he premises are lo be used as a.�dh4JL-�T�C:-�..g�.^�-�' .�. ,.�-�rn� <br /> � Thrownernflhepremisesis _____ . -__"..._.__.______._______'_...4 �� <br /> Thcagent is .___.-_. ____..._..______ ._.._ __..____'_... _.___"__ <br />� This application,althouRh siqncd, shall not bc binding upon the City, until ac� <br /> ^pted by The Superimendent n(Ihe Wxicr Dcpnrtment. /� <br /> �SiQncd.__/�V.�.��J.!/lV1�f/. . �J /— <br /> - - .Ct/n�W-Y.Applicant <br /> .._. ._ � �G� � . <br /> i AcccP�eJ __ .___..__'___.191 By./ „_ __ __ <br /> �- z� - ..rs <br /> snr!rintenaenl <br />,� "",^- ---- <br /> I <br />� <br />' r <br />