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r � NTD 'C�/- �.Yl�' . + .. . ... i <br /> • _� ~. ' <br /> w. o. r��m 4 I500 ]-I-17 C. P. <br /> �lTY OF E1'�RCTT==tti'ater Department <br /> „�ga�li.cation for �ater <br /> :111 blanlzs must filled in nr eros-ed aul <br /> licereu. / � ?��.-.--14P_-'--"- <br /> -� � � -- - - <br /> 'fQ 'I'Hli SUPF:ItIN'P[?NUIi\'I' F 'HG NA"1'IiR UIiI:AliTniGN'C. <br /> C "1' OF ii7ERB9'T: <br /> I hrreby apPly fur the use u(water in ;iccurdance�t'ilh the rules and regula- <br /> ti�m;u('Che Nater D�partmnnt, (ur purposus and fish�res stated belo�c. <br /> UiriuK tlie time ihat .im�ut thc water mau�s m�iy be tnken up hy reason �d <br /> :my iinprovements autliorized by [he Ci[�� n( Everett.in or n( anY etreet ��r allu) iu <br /> which they nt:�>' have Ueen laid, the City �cill not bc required to furnish•.vater durin�• <br /> r thc pr��{:ress u(such imProvements tu any consumcr ��'hnsc s�ipply muy Nius hr rcc <br /> ni(. or be liahle fnr any dam'�¢es 6�r it. (aih�rr sa to dn. <br /> r-/ <br /> ppplicn[iinNo.. "_____. b <br /> �'__"'___'_ <br /> Bluck ___ .oL__'__._-- ._-- <br /> ___AJJ'___ '--___-_-' <br /> __" _"._ <br /> Vo.' -_' '` �___:'___Strcr[ <br /> /o a-�- <br /> -- - - -- - - - <br /> - ,� - ---- - --- <br /> � ���.fhewnrktobee�crutodb}'--.__.-__...� ._.- --______ Plwnbrr . <br /> , . � , __._. . <br /> ti[ate su}�(lap. . -� / (, � O <br /> .`j/�/ U <br /> :y'"I ap tu br insrrteJ in[he ma�. � <br /> 15'arer dose: �� <br /> ... __.l3adi � �\�,, <br /> _ . . ____ _Urinal ���� ` <br /> .. .Plain (aucet inside <br /> _ _ <br /> _______Side walk masher <br /> ._'__.._H��s'c bib uulsidc <br /> _" .-J:��sr bib f�'�r huilding Vc•'no�,cs <br /> ..� _____Huscbibinside <br /> 8ib to�s�ablc containinH___' =l:ill_ . _ __ <br /> _�-/-�___NnniLerof Persuns in family <br /> __.'�/___Number nf ranms in buildin�! <br /> / <br /> 'fhepremisesaretu6cuv�edasa _________________________.__..._.___ ____. <br /> .. .Phe u�cner of ILe premises is _"_"_______'_.--.'_-____"_'__""'_"__' <br /> 'fheaFentis _.-._ ._. ._.__________________'__ <br /> 7'his :ipPlication, althmiqh signed. shalt nnt be binding upnn ihe CitY, imtil ar <br /> ;rutcii by'Phe Superintenden[��f Ihe �Vn,t,/er� Dcpar�mrnt. <br />" Signed ._.�.(�':S�v'-°-"-'-_.�-, -�- �________Applicanl <br /> � � P.c � <br /> `._:,I^.vd ' �.� �� /JC <br /> , i' <br />