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._� ._ <br /> ,. <br /> y �J C.v��'L �—'` - <br /> �.�-.k.?'-8 � , <br /> ^W. [t �bnn 4 1 G00 J-i.l i C.P. <br /> CITI' OF EVERETT==Water Department <br /> Appli��atior� for Water <br /> All Ulanks must bc fi��ed in or crosscd out <br /> ' ----d�-�-�----t912��' <br /> � . ..----------.. <br /> L•eerett.-_--' <br /> TO 'fHE SUPBRIN9'fiNUENT 0i`;1��F`rYEIiGTT VAIiTNIiN7'. <br /> 1 hereliy aPPIY (��r the use of��'�'er in accnrdanee«'ith Ihe mles and :eynJa� <br /> ti.ms u! Th�Nater D:partm eN.(nr purposes :md Lstures stat^_d below. <br /> During the timc that any ��f Uie water mnins ma>�be tal�ei'4treet Y�r allc)' �� <br /> nn>imPrnvcments authuri2ed b>' the City of IiacrMt,in��r nf mi). <br /> thc Iho6'�csg�n(such�i nPmvemeni15 to an)'�rnnsnm�crr�vhu�e supply�mar thus Ua cnrt <br /> nf(.ur bc liablc inr any dama�e�s.7for;s (ailure so in do. <br /> ppplicNionNn.'_'_7�. /-c�-/--'_' <br /> ' .5� � �''___"_Tdd'_'_'._'_'____'_' <br /> 131uck .-��'-2-� ------Lul_1""--- <br /> __.[f� �_ _..__'__. ._'_'_ __'_"'.' <br /> S�rcet <br /> \n. . <br /> ""'_ . <br /> "_'___"_ <br /> ___'"' "'__".""_ _"'""'_"'_""_"_' <br /> " "_" <br /> � ---�--'------- 'um er <br /> 'I'I�ewod: tobecsecuted �y-.___._._'_' <br /> -'- ------- <br /> titate sizr��f tap. � �� <br /> �/��7/,,,. Tap t�be inserled in the main. `(�•t+"��'� � <br /> '__'7_,._\YntefClnsci l ��J�J��oa ea�.c.�..f� n.,.......� <br /> '_"J"__13ath ' <br /> ___ .Urinal � <br /> .__Plain fauret insidc <br /> , _ ___.Sidc��'�Ike•ashcr <br /> -'llnsc bib outeidc <br /> ___'_'_ _.VloscUibforbuildinKP���P��•�' <br /> -.__.._liosc�ib insidc <br /> ____'.-_'t3ib fur stablc cuntaining..----------scall__...---'- <br /> -_ _..'_Ivumberof persuns in tamily <br /> _S,__.Number uf rooms in 6uildinK <br /> The Premisrs are to be used ns a_.__.-___'__'_'.__..____'__._'__'_'_' __.--. <br /> '-�, ______..____"-_'__.__.. <br /> � "t"' �. . .Chc ����'ncr��f the premises is _.--�- <br /> _'_' <br /> ___'__ <br /> . �, ._.___'_____ <br /> � 7'hcaKentis .________..__. .__-________ _ ______ _______"_' <br /> � ' This apVlicntian,althouFh signcd,shall nol bc bindi�TgnuP���� Ihc Cily. un[il no <br /> � ' �rd by The SuperiNendent nt tp�� �"1)CP' un n V' <br /> / �jL����-___ _ _'_'ApPlicant/ <br /> . . 1-`.y_- ._� <br /> Signed_----'-" <br /> _'/'_-_ <br /> ' L�j� ��p GJ _____"_.__"_ <br /> :\CCCPIed../^c^„i-'"_'_y.`1- � :S:r:n'imrnJ.m <br />