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\5'. '�. i,,��n 4 I500 3-I.1]C.P. • <br /> CITY OF EVERETT==Water Department <br /> �ppiicatit�n f�r VF�ate� <br /> „ <br /> All blanks mus[l;�filled m nr.. e I 1'fi� <br /> i ' L <br /> lverett..-�- - --- /—�f//� ( . .._iNj_.��. <br /> 'fU '1'lIIS SUPF.RIN"CGVDIi\'f OF THG \VATER 171i1-:?N'C!�1EN'f �� <br /> CI7'Y Oi� E`1GRETT: <br /> I hereby apply fur the use of water in :�ecordance �cith �lie rules and reR��Ia� <br /> �h,n:af'Che Narer llepnrtm:nt, for purposes :md lix[ures stated below. <br /> Durinq the time tha[any nf thr v.ater mains may be taken up by rcasnn of <br /> :in•: improvements authorized 6y [hr City of Everctt,in nr nf any strcet nr ::Ilep in <br /> �,chich [hey nr�y have been IniJ, the CitY �+'ill nat bc required to (urnish wa[er durinF <br /> ihe prugress nf such improvements [o any consumer �chose ����iy may Ihus Le cut <br /> �ni, nr be lialile[nr any damages fnr i[s failure eo [n dn. <br /> :lpplit:rtiun n.��'�'�"_'_'_" , ' - <br /> i�/ <br /> Iflucl; ___ 7�_-� __._ t__'_'/-_�" Add_�:- . <br /> �_._'.___.. <br /> �� \��..---- '=.?D,-.20------------------- Strecc <br /> ._ .I'hewurktobeexecuted67'-____._______._ __.____ ___._q_.��__/_ Plumber <br /> Sla�/ � u( [ap. ///.� ._'� �.3 tF <br /> ,_. _"Pap to be inserted in the main. _i� � p� <br /> � <br /> _�___PValcrdoset �- -'�� �� <br /> ___. .�___.i3ath <br /> .___ .Urinal <br /> . ____Plain faucet insidc <br /> _____.Side walk teashcr <br /> _ .. _Hose bib uulsiJe <br /> .___._.__Huse bib for huilJing purposr.s -. <br /> ____.__14nsc bih inside <br /> __._._'_6ib furstable cun[aining_....._.._..stall___.._'___ <br /> ____ '_Nmnbcru(persnnsinfamily .. <br /> _.__��_'_Numhcr a( rnoms in building <br /> 'fhe Premises are to be used as a____ ______'_'____."'_______. _._____ . <br /> "1'he nwncr o(thc Pnmises is _____'_-_____._._ <br /> ._______________________'____. <br /> Thca�entis ---------�---� ------------' -��-----�'------'_. <br /> '1'his apPlicatinn, although signed,shall not be binding uN��� [he City. until ao <br /> repted by The Superinl`nden[ot the Wnter Department. <br /> � � ^ � <br /> � � ? <br /> SiF�ed /_.��-'�✓l��'_ __.(�G.��'L-$�L�L� _ _ _ _ _ '..Applicant <br /> cptrd _:" -:'..:_'__'1!11 '•t"_.__�- . � <br /> _' "\"_""__""' .r <br /> � � Sup.rimm�nev <br /> G�' <br />