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f-- ��T� ; y _. - .�._ . _ r `,,,T�j µ—a. a_'-'f —fiJ. <br />W. 0. Form ! I500 J-1-17 G. P• - <br />CITY OF EVERETT==Water Department <br />Application for Water <br />� All blanks must be filled in or crossed n�t /�� <br />Everetl.. _______ _'___��"/u�'..__""'_"19t"./--- <br />'I'O THF. SUPIiRINTENDIiN'1' O� TH� DEPARTh1GNT, <br />CI'CY OP E'1BRETT: <br />1 hereby :�pp1Y (ur ihe use of «'ater in accordance wi[h [he rules and regula• <br />tion, nf The Nater Uepar[m:n., (ur purposes and fix[ures stared below. <br />During the time lhat any nt lhe water mains may 6e [aken up Uy rcasnn of <br />any improvements authorized by thr City o( livere�l, in or of any street or alley in <br />which thry may have been laid, the City will not he nquircd to furni�h water during <br />[he progress a( such improvemr.nts [o auy cunsumer whe�e suppW maY lhus be cut <br />o((, or be liahle tor anp dam��/aK'es tor ils (ailure so [u do. <br />Applirn[ion No._.�/--��'----- <br />Block �� L� .'__ _ ' "" dd_____.___"__-'_'_.. <br />--'--- ----- �f <br />'" - <br />—' <br />No..____ ___._' ___' __.__"'Y...__�'���-_'. Strect <br />--- �...:----..�C3/-�-�G�-�c/� <br />I p' <br />-- � '-----5 -_� li J <br />-------- ------ - <br />'fhe wark to be executed b'___�""___'-_"_ '________"'_""__'_"' Plum r � <br />Stnte �ic of [ap. � �. ��� � <br />r � <br />� .�Tap to be inscr,eJ in [he I, �a' . . ' � � U d l <br />__.__'____N'nter closct . �J 0 <br />/ � <br />i <br />_____'_E3ath � � � ��' � <br />P a� � �� � <br />_ .Urinal � <br />.� �.0, s � <br />- .______Plain t:mcetinsii� . y � �, p <br />___Sidewalk�vn.g\h\er''� . � <br />.._Fiosebibuwsii7kJ � � � <br />___"____'Ho�e bib((�`d�r�b�ldiug p����p�scs � � <br />_________'Hnsc 6ib ind.-de , C� <br />�, . �.1 <br />_""'._'_Bibfor�sf�SWccontaininF.___ __'___s[all_"__""' <br />� � <br />_________'Numbet�artP�rsonsiu(amily� � <br />_'_'_ <br />"'tium�'be�f rnnms in buildi�� .`� <br />' ,. t I <br />'Che premisiF nre tn bc uszd as n"�.._""'-"-- f ���------- -"- "" <br />- L <br />'Phe uwner n( [h� Premises is '____�.___"_"'_"_____'____"'_"_"'_"__ \, <br />Thea�eriris�---------... -- •� --------------- ' - �--- ------------ ------� -'---- <br />'Phis application, althuugh.signed, shall nut be bindinq upon lhe City, until ar <br />ccpted by The Superimend [�af the We er Ucpartment. <br />Signed __4_✓t��,f�. _ ' '__ ApDlic�� <br />� � �-- � ����.�'_ - � <br />;��« <e� -� >' �v�.,,�������, � <br />