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_ _ � <br /> F,•��`.!% /v — � G -• � �.; - N , i_, � = -i s -Z � � <br /> w. o. Fo«:� . i soo a-i-i v c.a. <br /> CITY OF EVERCTT==Water Departrne��t <br /> Application fa�r Water <br /> NI blanks must be filled i� 'r crc.=.•,d nut <br /> Everett.-_-_'..____'__�/.�.:� —_""'__.191'i-� <br /> TO THC SUPERIN7'IiKD1iN'f OP THg LVqTER DEPARTA1GNT, <br /> CITY OF Ii7ERF.1'T: <br /> 1 hereby aryply fnr thc use of water in acrnrdanre with Ihc rules and reRula- <br /> ti��m of The R'ac•r Uzparbn ent.for purposrs and lixtures stated below. <br /> . DurinR the time that any nf ihe u�nt��r mains maq 6r taken up by rcasnn � <br /> :my imprnvements authorizrd Lv thu City••f Becrett,in or n( an5' sire�v vr ailey . <br /> which thcy m��• have been laid,�the Cily w•ill nnt he requirrd to fumish w•alcr during <br /> the pru�ress nf�ueh improvementc tn miy ca�sumer u�hose supplg may thus be eut <br /> n((, ur bc liablr!or any damvr,cs for i[s iailure w tu do. <br />- Applicnliun Nn.._� �C � <br /> �' _e.2""" <br /> 131ock ."�-a_�"�.' __ _'Lol�"_./�i'l_ _'7t.�l.Add__""""_'__"_'_' <br /> Na.__�.U./_U_ �o—:fiL-',_____'._'_...Strect <br /> ------------- - ----'-"----.-"'------------"'------'----' <br /> "1'hc a�ork tu be ezecuted by......_."_'___' '__.__._._'..___'___"_ I'lumber <br /> Stale size nf fap. , <br /> . .��7�.Tap tn be inserted in ihe maiu. I�'� �!� <br /> ..___'___.1Vatcr clascl � <br /> '_"'_.._13aih <br /> .__. '___ .Urinal <br /> .._.._____Ylain (aucet insidc <br /> . .-______Sidc walk washcr <br /> .---.__.._Hase bib outside � <br /> --_____.__IiosebibforLuildingpurpnses � <br /> .-..___'..Ilosc bib insidc <br /> __'_"__.13ibforxtablecontaininG _______s[all._._."__ <br /> _.__.___"Numbrro(pen�ms iu family <br /> _.___.._"A'umbcr nf ronms in building <br /> 1'he premiscs arc tn be used as a__..______"__.._. ___'._.______' '___" <br /> Theownerotthepremisesis .'_. _________'._'_...___'________'__".___,. <br /> Thc aGcut is ."_'____ <br /> This application,although signed.shall not bc binding upon thc Cily, until ao <br /> ::pted by Thc Superinlendent o(th Yaler D fimr,qt,/� <br /> SiHned_____�'__�G���ff ��, - <br /> / 2 ��..�f��______ApPlican[ <br />, Acccpted_��_!-u�__�.Y{�/ [3y___�'`�___._'- / <br /> sr.�r��mendem <br />