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� <br /> r�� . ✓ j.� �� -/ _ =_ .' C_ - <br /> .t . _ �r-r r i� .Z-_'_ .. _ <br /> 1V. D. Fa.m 4 153C :.I-I;i..r. ` -� , ' <br /> C[TY OF�EVEREI'T==!�/afei• Department <br /> <�.p ,�lica�io� $'or ��t�r <br /> All 6lanks must hc illcd in or crnssed r <br /> Everett�.\_,.a�___V.__�. ._._______19Y__"-_. <br /> T(1 THE SUPI{RIN1'ENDIiN"f OP'fllG 1tiA':iiR DGPAKT�]EN'I', <br /> CI"1�1' O� E`/ERG1'"T: <br /> I hcreby apply h�r the use uf water in accord�ncr. �ci[h [he �ti]es and reg'aln- <br /> ti�,inv uf'Phe Nater Wpnrtm�n[, iar purposes and In:u�res stated bclow. <br /> Durin� the time diat any o( the�vaccr maius m;}-bc taken up by reason of <br /> :my impmvements�ulhorizcd by th;Citu�of Bverctt, in or n( any sU'cet o� allcy in <br /> �ehi�:n the5' ma7' have becn laid, Ine City will nnl be requifed ln (urnish water durinF <br /> the progress o(cuch improvements [n any consumer whose supply may ihus be cut <br /> ��II, or bc liable fnr any damages (ur iL, [ailure so ro do. <br /> Applicntinn No.._____"_' '_'"_"_" ` <br /> � � 0 <br /> I31od: ___.��� uL___�'�_ ..Add'_-._ <br /> �j j _ _______.___.-. <br /> Yn..d`./..�_. ____��L�___'..Strect <br /> '____._______.________'______________ <br /> '1'hc wnrk la be cxecuted by_. ___.,____-_ �����-Nlumber <br /> ._ _-__-.� �—l�______ <br /> Statc s'.c uf tap. � <br /> / O <br /> --"-_�f'Pap [o be inserted in the main. � C <br /> _.___.__{Vatercloset �•� ) . <br /> __.. ._ _..I3ath <br /> --- ---- .Uriral <br /> . ._-____Plain [aucct inside <br /> . ..______Side u�alk washrr <br /> -------__'I�lose bib outsiJe <br /> _-______Hasebibinrbuildiagpurposes � � <br /> .'__'__"Hnse bib inside � <br /> ______'_[3ibfors[aUlecontaining___ ___ .slall.. l <br /> _._ <br /> -.--.-.___Nwnber of perrous in L�.uil}. <br /> _________'Num6er at raoms in bniiding <br /> 7'he pre�i�ises are �o be csed ns a___._ <br /> . _'. __ �_._._.___.._ <br /> __. '_" "_'_ <br /> 7'he nw�.r,r o[the premisrs is _____.___[_'__•._. .__ <br /> ___ _____ ___________ <br /> _ <br /> The aHcnt is .___.____ '_.. ________.____ <br /> ________ _______________________ <br /> 'fhis nppli rnt�,;,i, aldiough signed, shall nnt he binding npnn thc City. until :�o <br /> ceptcd by'l�he Su�erintende�o(d�c W:�ter eparuneot. <br /> �/ 0 <br /> Si�nc<I�� `/ �� �p /' <br /> . ._��rY,,��/fj�Applii �t <br /> ,,cc�n��a.h .�� _ -----�/ . . <br /> . ___'�1_c- RY_ ._!�"..�"��j_�¢p �-__'_______ <br /> "',•'Sar-riniendem <br />