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. ----..�.a.-� . _ <br /> , <br /> _ �, � [--ni`rD 7—i�—i9�J <br /> \V. p. Form 4 I SGO 3-I-17 G.P. �. <br /> CITI' OF EVERETT==Water De{�arttnent <br /> l�pplication for �a�ea� <br /> iVl binnks must 1 L' flled in or crosse.d � <br /> lverett. � _____ .___/�__ __'_'_'__191�..� , <br /> TO 7'I-I6 SUPIiRINTENDF.N P� '1'HE 1VATI'sR DIiPAIYI'D181�T, . <br /> 17'Y OP E 7LRE7'7': <br /> I herebp:�pply (ur t ie use uf water in :�crnrdance with the rules and regula� � <br /> �ia�u n(7'he AVnter Dep��rtm�n4 tor pprposes and fis�.ures staled bela�c. <br /> UurinP. the time ihat am• ot B�e mater mains mav be taken up hy reasmi o( <br /> an.°im?roveinenn authnrizeil bc lhi•Citp of Iiverc�t.in ur o( any streeL or alley in <br /> •,��hich [hoy mnY have been I��id, We Ci:Y will not 6e required la furmsh wati; dw-ing <br /> the prqcre;s o(such improveinents tn :my cunsumer �vhose supply m;rv thus be cul <br /> nfE or bc linble for any Jamn�;eys .'or its failure so �o do. <br /> APplicntian Nu.'�U'C__/'____' <br /> G 1 <br /> BluCk ._�!_� .'" "_ . [_�J Add_"___'.-_'"_..__._-"_ •. <br /> __.___.. <br /> Ku.._��.y�. .�__. _____"_"__'___" ' .SVe�t <br /> __. � <br /> "1'he �rnrk tn be esecu�ed hy_"__'_"_"_'_ _____"_""'_'____" Plumbcr <br /> Sia�c siz_o(lap. /� ���� <br /> n- ' U� <br /> _/6�_'Cap to b.• inscrted in the main. `) <br /> _...�___15'arerduset � . <br /> .__'_�__-Batli �_��� <br /> // <br /> ---- Urinal r/ !�/ <br /> Plam (auce[ insidc t% . . r.,` <br /> Sidc�ralk �tasher �� - <br /> .�.."+^e. ��:�.. <br /> - .___ t� 1� � '�'f\ <br /> ___-. . Hosebibuutside _ i� ���J� ',���� �' � <br /> _____ 13ose bib (crbuil�iing purpu.,.s « � <br /> � . .....�U-_-. <br /> _ .._:___Hoscbi6insidc 1 ' ' ' „ . ,... <br /> i <br /> . _ . �: �,.,� � <br /> _'____.'_13iUfarstn6lecontnining.___..______stalL __ ' ,1�' <br /> __. �5__Yu��nber o(Persons in Lmiity ��. P� -- ' <br /> __._`V__��Dlumbcrotrnumsinbuildinl; �,��'�� C�l <br /> "Phe premises are to be used as a______________'___"_..__`e�� f .1' <br /> � <br /> 'fhe mener o( [he premises is ___'_..._______._ <br /> 7'heagentis . "_'__'_'__ "____'_"__' ."' '. __.. <br /> This :ipplicatioe. al[hmigh signcd, vhall not br binding i,pon thc City, until ao <br /> �cpied by"Che Supmimcndenl o!the Ynter Ue�j�'�rtment. <br /> Signed __..'.� __'..�J�/�_�^_J T� 4pplican[ <br /> " " � <br /> � j/ �__"'_ <br /> ACCCpted.t._/. ....�/�______19� � <br /> / ' '_ ' ____"_' <br /> �/ ' <br /> _�_ "_"_"__' S�q�•,:i,ioir..,.ni <br /> / i <br />