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�.. �... _ � _ <br /> µ_ � .. , ,�� ' -� . _ 1 �J . ..� GNTD. S'16�: ' � . <br /> .... <br /> ` W. D. Form a I500 3-1�17 C.P. ' <br /> CITY OF EVERETTs=�Vater Department ,, <br /> � . <br /> Ap;iication for Water 1 <br /> A)I blanks must bc fillcd in nr crusseJ ��ut I <br /> liveret4 __. _._ J//�-._-19Y-�-_ l <br /> __.'____u <br /> TO THE SUPLRINTIiNULN'P OF THIi NATER Dlil'AR7'MF.NT, • i <br /> CI7l'OP E`1F.REi`T: , <br /> I herrby apP�Y ��r���e uxe ot aater in accordance with lhe rules and reKula� � <br /> tiuns of The Water D^partm mt, for purpuscc and fixwres sta[ed below. <br /> Uuring the time that any uf Ihe water mains may be taken up Uy.reason ot � <br /> am imnmvements authori>ed by the Cite nf liverelt,in or o( any strecl nr a�1ey in <br /> he pr��p�rss�nf suchcin pr vrments U�an)' clnn.sum�crr W ha c�'supp�)'��hay 1!us bercui <br /> �dL or bc 1ia61c Gir any damaK�'� f�>�' ils (nilurr so tn du. <br /> , � <br /> � 4' Y_�"_'_ <br /> ApplicntionNo._--f-'-� -- <br /> � (� 2__'Add.. ', <br /> �------'------- - <br /> BI�Kk .�.-�--/-- � I.nt 3�--31-.. _ _ ' <br /> ' .. .e__SVeet ' <br /> ���.-- 2./.O�_.�_ - <br /> ---- -- -- - -- - <br /> ---- <br /> ._... . .__"_ . '_'.__ <br /> ---------�,c,c <br /> _-._ <br /> _ . .____._._ Ylumber �. <br /> 'fhc wnrk ln be excculed by_..._' ----'---' --- O <br /> __ " ` <br /> � ylalc�izr nf lnp. i p¢�� <br /> � ��I Tap to br inserled in the main. � ✓ N ] <br /> f �7�-:- , . �, / i <br /> � _Waler dnset .� . "/ ' I <br /> _ /�r f <br /> —�— .is�m , ,-,,.,. <br /> u��nai - �. <br /> —___ � � '(( <br /> . ______.Ylain (aucetinsidc , . � Q ,.� �1 `,l �I' ,j ��� , <br /> �1 1 <br /> ._Sidc w'alk aashcr J <br /> ..__...Hose bib oulsidc I <br /> i� . � <br /> _ __'_..Ho�cbibforbuildinKV����P'recs ��� f , <br /> .._..__.11osc bib insidc � r�'� <br /> �.^'.i <br /> ;. . <br /> ._'____l3ibfurslableconlaininK----'---slall��'i,_ '-_. y,,e�-�� <br /> �.. � • <br /> __'_____Numbrrofperumsin (amilp �._�.� ���'. <br /> i . .. _.�--.Number of rnoms in Uuildinq <br /> �. �T ThePremisesaretobeusrdasa.___.'----__.'.___....'__._-.'_.___'_ '____ <br /> "' ' ___'_'_. _.. <br /> ._."_'__'____'_' ' <br /> �. 'fhe na'ner uf the premises is _-__----- . <br /> � ..__.._'__.. _.____.__' . <br /> � Thc a�eN is .------ -- '"-- �"- ' <br /> This apn�icalion, alt ouah : K���• s���ll no binding�� m the City, until ac� <br /> � ntrd by 7'he S��Perinicn �t C nter �ar ienl /�� . <br /> Si;med_._'__'.__."____--_.._1�V/ -.-/�.� '-'-ApPlicant <br /> . � <br /> i\tclPtcd � -- ' -�� "Y' -..."-"'"Superlmendenr-" <br /> I <br /> � <br /> � <br /> r <br />