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^ <br /> .�- �-r/v' �— �� '^ ,� ' <br /> - _ - . 1• r� r.� - �,- �i.'. <br /> i <br /> W. �. FoSm 4 I500 ]d-V C.P. <br /> CITY OF EVERETT==Water Department <br /> Applicatioxi for Water <br /> .411 blanks musl be filled in or crnss�.�l nut <br /> Everett�_.__'___'_" `� __ ��. 1-�__ <br /> '________ 191 _ . <br /> TO 791E SUPERINTENDIiti7'OF TH6 NATF.R UIiPAR' IiN1', <br /> ����}• pp E7LRE7'T: <br /> I hrrr.b}•apply for the use uf water in ,iccordance ��'ilh the rules and requla- <br /> tiun+nf'Phe N:uer Uzpartmenl, fnr pivPnses and fistm'es stated belu��'. <br /> Durinti the time that nnr�d the waier m:�ins may bc taken up hy rcawn of <br /> :my unprovements:mthorized bp the Citv u( Lvcrelt.in nr n( nny strcrt ��r alle)' in <br /> ���hich LheY �»�Y have been laid. thr City will nul bc reyuired to lurnish x•aler durin�; <br /> Ine pruQress o(such improrements tn any consumcr whose supply may thus be cut <br /> o((.or bc liablc(ur any danr.�gGc.J fur�i1�s failure so to Jo. <br /> Applicntiun Nn.__J'-�-/---V----- <br /> i Q <br /> iii„�� .�//..9.�1" L��— --- �aa . - ---- — — <br /> _ . <br /> No._.�.`T�� � ��li��'=�________. Strcet � <br /> ----' �----------- � -'-------------- <br /> -----�---------' <br /> 'fhe a�ork �o bc eseculed hy�__-----'--- --------/--�-----" F'lumber <br /> Stat55izcoft:�p. /� i5 � <br /> / h f� (/ <br /> __1��Z___Tap lo be inserted in Ihe main. .,, ; " <br /> -�__... . ,��,"s%C+��\ <br /> �__Natcr dosct • <br /> ._..�__..f3ath ' :� �\,�\� �.. <br /> .___.___ .l'rinal � l�� `'�j\ \�.• �+ � <br /> .._Plain (aucet insidc .:.--�� ��� <br /> .__.'__ ���. . n I <br /> _-.__'___Sidewalk �vasher `�� . 1•� �J �,. <br /> 1 .�.C'. ,.' �j�! <br /> ._Iluse bib outsiAe <br /> """"' __Hosc bib (nrbuilding purposcs \\ \ . Q� t•�• <br /> """'_ <br /> _"'____ <br /> Hosc bib insidc �_�/g.�^� <br /> __""___IlihtorstablcconlaininK ---_____.stall_._ ____' � <br /> __"____'Num6cr o[persnns in f�mily <br /> _'_�_'_Numbcr ot rnoms in 6uilding <br /> 7'hepremisesaretnbeusedasa _.__. . _'_____'.______ ______________.' _____. <br /> The menero([hepremiscsis ___'..____________________ _ ______"_____._. <br /> "fheaNentis . .".__'__"'__' .____"__""'_"_.____'____"_ <br /> 7'his application, althnuKh si�:ned, shall not be binGing upon �hc City, untit ac . <br /> cci,ced bs 7'i,c Sun�rinicndeni ��t/q�c \'ntcr Dep�un�cnt. <br /> igned���f"L�� � l//.Qf-_l'�J���E-`___ '__Applicant <br /> Acccrie _'_.__- _ _ __'� _--.__.__..__._:_ <br /> 19� U�. <br /> � -� � . � svi.r�nrn:.�.i <br /> U <br /> I <br /> ,,r . <br />