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t.�.� �_�_,� L � '� Nr�1 <br /> W.II.Fnrm 6 It�io._F:.C.Co.—G.i6.Y� <br /> City of Evei�ett�Water Depai�tment <br /> APPLICATION FOR WATER <br /> Ali binnks muFL Lc filled in or cros�eJ oul <br /> F.vcrett................�� Lt....................102..�. <br /> ...... ..__._.. . . <br /> TO TIiF. SUPliRIN1'F:NUI:NT OF TIiF 11'ATE )I:I'AIt1'nIF.NT: <br /> CITY OF F.VliP.ETT: <br /> I hcrrLy npply for lhe iwc n(�cslcr in ncinrdnnce with the rules und regu- <br /> lalions uf thc Wnter Dcpnrtmenl, tor ����-�:,�s mid fis�ures xtntoJ Lelow. <br /> lluring the timc thnt nny of thc �c�ter mnins mry Le tnken up by reneon <br /> of nny im�roeementn outhorized by lhe City of T.ccri�t[. in or nf nny ntreet nr <br /> slley in w�irh Ihey mny hnvo becn Inid, thc Citv wil: not bc requircd to furnish <br /> wnter durin„ the prugrese o[ nurh imp:m�em�rn�v to ony cnnxunter e•hose aupply <br /> mny lhus bc iut o[f, oryr bc IinLle fnr uny dmm�gce for ils tnilurc nn lo do, <br /> Applfcntlo��Np.ld...1 3 �....... �.. Gd a3 <br /> Elock..... ..... � _�.. .. I ... . Add.. _. .. .......... .. .._ _. <br /> 1:0. .�� (/ � .����. 9tmet <br /> __.. . .. . . . . . . .. . .......... _ __.._.. ... . _.._ _ ......__ __ _. __ _ ............... ... <br /> The w�ork lo be ex.culeA by.r�1"/� 1�G�.�Ctic,._....._...........P1ut�Uer <br /> Slnt eize at tnp. � <br /> �_5- -- - <br /> ...�..Tap to ba inscrted in the mnin. � <br /> .......I........Nnter cinaet - <br /> / <br /> ....a�......Bath <br /> ......'......Urinnl <br /> ..._�c:.....Pln(n fnucet insldc . <br /> _...._-.....Side �rnik u•naAer <br /> .......1........11ose LiL out=ido <br /> ..._-_......Iiosc Lib [or bnllding pnrposea <br /> .. _-:...._fiasn LiU ineidc <br /> ..._..'.�.....IIib for stoble cantnining......._...........filall....... ......... <br /> .....�.,.Numbcr ot pereone in tnmily <br /> .��.......NumUcr of roome in build(ng <br /> Tho premiaea nrc to be uecd ne n. _..�L..�/� . _. ...... ..._... <br /> The owner o[ the prendeee in....�-oiCi(.l• C.!rc ..� � 2�.>� _._._.. <br /> TI:C ngent ie...__....................................__... ��................_...._................_... <br /> Thin npplicnqon, nithough signed, :+Lnll �iaCFe Linding u on the Clty, until <br /> necepted Uy the Superinlend t nf the �1'ry� Dep rnt. <br /> Stgu d <._...��.'�. .�/ }S.�! ._ . ........ �.. . .�. .Applicant <br /> Arcepled.._.. .� �p..... lU2J� r�ly. R/ . <br /> .. . .......... <br /> �N.upeAntendent <br />