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�' �''•- � ��.� �� ? 7 /i'n) <br /> t-.,-3_'-�:,�— `i- "e � '' , f--...,�v � - � . <br /> W.D.Porm< -15��0—h:.P.Co.—G2G-Y4 <br /> City of E��erett�Water Department <br /> APPLICATION FC�R WATER <br /> A11 Llanl:s �uust Uc Silled in or c;ossed out <br /> liecrett,...._.._._.... _.......... . ....�........._....._...192 _._ <br /> TO TIIP SUPI�,P.I,�'TIf.NllI:N'I' OL' iIC: �ATILR DI?PARTiliEN'I': <br /> C1TY �VliItITT: <br /> I hereb�� :ipply Sor the use uf �cater in nccmdmice �vith the rules :md regu- <br /> Iatior.s of the N.�ter Departn�ent, for purposes and fistm�c� slated bela�c. <br /> During thc timc thnt any of thc tcalcr mains mny bc takmt up by rcasmi <br /> uf any im�irovements authorizud by thc City of Evcrett, iu or of any sLnet or <br /> alley in �vhich they mny huce Leen lnid, the City �cill no6 be r^quired to fernish <br /> �euter din�ing the progress ot sud� improvemmils to .mY consuwer �ahoec sopplY <br /> m::p tims Le cut nft, o('r�be bliable fur uuy damaSes for iis fnilm�c su to do. <br /> � Applicatiun No._.6_.� /.���I- 'j l 66 <br /> . . .. ................... <br /> 61u�6 .v�:.2�� ..__._. Iot.�.� �.�..._ _... Add.. ...._. __._. . ._.__._..... <br /> \o �U/G .....�i�f���....... .$treet <br /> .... . ..._...___._..__...................__..............._..._.__..........._.._...__.. _ .... .._......... _. _.._.. <br /> 'I'hc work to be executed bY.__.__.___. .... .�.__��_. �_.__._. P� I�yuU�• <br /> Einte size of tnP. � � �`: 7 <br /> ._.�/ ✓ - '� , <br /> !.?.�-.Tnp to be inscrted in thc main. <br /> .........L.....�Puter closet , . <br /> ........L.....Bath , . <br /> ......._-�:._Urinnl � <br /> ..__...�'.�...�_.Pln:n f�ucet inside � <br /> .__...... .Sidc �valk washcr <br /> _......�......tIoee biU out;ide <br /> .........—:..SIose UiL for building purpu:rs <br /> ........—_.Ilose bib inside <br /> .._..�..BiL for stao'e coutainin�...._............_atnll................_.. <br /> ........`/ .....Num6cr of persons in f;+mily <br /> .. (�'.......NumLer of ruwns in bmlding <br /> m premises are to be used ns n.... _ .��_ /�0..-- .-7�..... . .. ._.. <br /> - otcner .f the Prmnises is. ��1 t� �j�� v�..']lZ�fJ'�._..... <br /> �en+; is........._.........................._....__..........._........_........._._......_.........._.............. <br /> • pplication, nithough signed, ;hall not be biraiin8 upon the City, Until <br /> � . �;ic Superi � cnt uf :hc �Vntcr Dcnnrtm.fnt. <br /> �i ned..���� l..��/U�.AP icnnt <br /> Accepted__ �. 03.-' . .19'� �5.,-(i�5'� �. <br /> Y <br /> Superinten�ent <br />