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. , . . ' / - .. " " ' . <br /> . r r <br /> w. u. ro•:�„ a isco a-i-i; c.N. <br /> CITY OF EVCRETT==Water Department <br /> Application fc�r �":ater <br /> A!!blanks mus[Je filled in or cro . d o� _� � <br /> �«�4. / <br /> Eccrctt. �_____'___.'_ ____.._.19l�_ <br /> 'PO 7'HE SUYIiRINTENUF.N'C OF 1'HE R:CfER UEPARTTIENT. <br /> CI7'Y n!' FVERETT: <br /> 1 hereby apPly ;or the use uf��ater 'n accordance a�ith Ihe mles nnd regula� <br /> ti�ro�of'Phe lVater Uepartm�nt. (nr purpnscx and fixtures statcu belmv. <br /> Uuring the tintc that :my nf Ihe�va;c•mains may be tnken up by rcason o( <br /> any improvemenis authorizeel b�� thr City��f iivcrctt.in ur n( rny strcet nr allr}• in <br /> �rhich they maY have been laid. U�c Cih• �cill nnt be rcquirrd lu furnish water during <br /> tlie propress of sud� imprnvements In any consum�r w�hose supply may thu.he cut <br /> �d(.or bc Iiablc fur any damagcs fur its failure sn t.�do. . <br /> r / <br /> Applicnlinn No."�'S�_' '�_�_� <br /> Rluck ."'_ _"_'Lnt"�_"'____"_Add._.. ... _'_' . '____' <br /> "_"_ <br /> \o._ -,O /O_' — 3�----------- ---...Strcrt <br /> -- <br /> .c_J/ 1 - .--`t�WC�---- ------ -- ------'------ <br /> ��_�.Phe �corktobecsccuted6y._._______.___ '_.. ._______.___.__ Ylumber <br /> /�State ae d�ap. �/� �� <br /> I'ap tu br inserlcd in[hc main. �)y n <br /> 7_ � <br /> -. _'�'____R'a�cr dusrl <br /> .._.�____F3ath <br /> _.__ .Urinal <br /> .__'-_'Plain L•�ucet insidr <br /> ._._____Sidc�calk aashcr <br /> __.._._.._Hose bib outsiJe �1 <br /> _____'..._Hosebibforbuildingpwpo<es �. J ' <br /> �h <br /> ._"....Ha<c bib insidc / " <br /> _'__'._'_Uib for s[able containing_.....-...-stil!__.. �'-' <br /> __ Numbrr of Pervms in (amily <br /> .__� ____Numbcr nf ronms in buildin� <br /> .. 'ihePremisesarcto6eusedasa_.__.._____-_..._...'._.- _-____._ ____' <br /> Theowncrottheprcmisesis _'_'_._"__-.-. _..................___._____ <br /> Theagent is .__'_______'____.___"" '.__.__._"_'.""'.._____.__. <br /> This applitalinn.allhough signed,shall not be binding upun the City, until ac� <br /> ��cpted by Thc Superinlendenj{d Ihc 1Va[er Dcpartment. <br /> Signcd __S�__'_!�'1_.'_�Q/L�L1�::U�._____'___ApPlican[ <br /> n,��•��ied.3_�-.R_-�3 tj>'C'�-�/ ----------•-------- / <br /> Superin�en:en� <br />