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i <br /> � E n�T`l� !IZ—.S.-..21�- i <br /> �;_ tiCs•_i<_ � - , ,,� � . � <br /> w.o. e�.,m � �soo a.�-n a e. <br /> C1TV OF EVERETT==1Vater Department <br /> Application €or Wa�t7e� <br /> All blanks nmst be filled in or crnssed nut // <br /> �_".-!.(/ �y� <br /> � � CJ -- y'/ <br /> Ererett.. ... ---- <br /> TU THE SUPCRINTENDI3NT O�THE NA;L'R DGPAitTAfENT, <br /> CiTI'OP I•:7IiREl'T: <br /> 1 hercby apply for thc usr.u(wntcr in accordancc with thc nlcs and rcgula� <br /> tiu�,nf'Phc 1Vatcr Drparlment, fnr purposes �nd fixtures st.ted belo;v. <br /> UurinK���e timc �hal anp nf thc water mains maq he takcn up by reason of <br /> any imnrovements ai�thorised bc the l'itv nf l��crclt.in or af any sircel nr alle5' i❑ <br /> �ehich they ma)' have becn laid. tl�e Cih•will no[be requirrd tu furnish water durinF <br /> - the prnQrevv nf such improvemants tn any cunsumrr u'hnse suPP�Y may ihus be cut <br /> nff,ur bc liable for�ny'J"damaKes fur i[s failure so to dn. <br /> Applirntion 1du./_�" " ------- <br /> IilocA '___'___ _"�ut__ _"'__'_Add_'___'__"__"- _ <br /> _ <br /> \� ��0� — .___.'_____"...Strcet <br /> a__'_.'___' '_."-.-.__"" <br /> _._..._"___ . ___"'___. -___ _.__--____" <br /> _��.,Phe�eork ln be ezecuted by.___._"___ __.„___'_____________ Plumber <br /> Sinl'e/izc uf tnp. <br /> __...'- � /� a� <br /> •._/'--.'1'Tp tn be inscrteJ in lhe main. <br /> .__\Vatcr closc[ <br /> ----'-_-.I3atI� <br /> "'.___ .Urin.d <br /> ______..--Plniu (aucctinsidc <br /> ._____.__Side�calk u�ashcr <br /> '__'___'._Ilnse bib uutside 1 . <br /> ,.'� <br /> """_'_.Hosc bih forbuildiug p'+ip�rses <br /> '_""'__'Hosc bib insidc � <br /> _"'_'_'__l3ib(orstablecon[aining.___. __. stall...._"__' x - <br /> ___'-___'Numbcrof persons in family „ <br /> ______"_Numbrr o(roums in L�iiWinq <br /> Thepremisesnn�tobeused.sa_'_____'___'__""'._"""_. "'__ ____. <br /> '1'heaw�nerntthepremisesis ___..___"._.._ .._. _ .___________'_..___. <br /> TheaKent is .________....-__.__"______' ... _.._._._.__"".'____'_______ <br /> This applicatinn,allhough n�d.shnli nol bc bindin�; pnn the CiIY� ❑ntil ac <br /> ccpled by The SuperiNende � ie 1V cr I��tro i .. <br /> SiFncd _.__.._.__._.. ______'_'Applicant <br /> i <br /> � � <br /> . - �. <br /> nc�:�. �- . . ..'."__'i '� ✓ 6y_ ._.._.'_"_"_"__""' <br /> Superiven!cm <br /> 1 <br /> - �- -�.,,.� <br />