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, .' � _ <br />. . . . i t - r • �� _ • _ <br />"'. C. Form 4 I500 d-1-1 ] C. P. . . � -. <br />CITY OF CYERF.TT==Water De�artrt��nt <br />Alaplaca►tion for VVater <br />All blanks musl 6e fll • n� or crnssed ut <br />Everett.__==-_� (-7�.._--.-. __._ . <br />f - ��,�� <br />�I'O 'fliL SUPEKiNTHNli1iV"1' OP'PHE �VA7'ER DGYAR7'D!!iK? <br />CI"Il' OP E%GRF.'PT: <br />I herebl' aPCly fnr th�� use o( n•a[er in accurdaece a�ilh lie. �.-..! �s an2 regula� <br />�i,���s �d The 1Y�ter Depar(inrnt.'or purpuses <n'.d fiz[ure� slaicd Lrio�o. <br />Durin�; th.e time �hat any o( the �cater maina m:p� br taken up ty reasun of <br />anc imPrnvements authurized by lhe Ci1y u! liv��rcl[, in m' of :mp slrect •rt allc}� in <br />n'hich they nv�l' have been laid, the Cit)' will nol 6r require�d In lurni<h watcr durini! <br />the prutiress nf such improvements I�� nny consun�rr whnse supply ma.y thua� be cut <br />��fL or be liable (ur any dm�g�fn�c,s failure so tu dn. <br />/ <br />.lpplicntian Nn." <br />"'_.' '___'____ <br />Rlock _'_'�� _ '_LoL_'_ � � <br />._-_ � ���[ !______ ..Add_ .2tfCe.y � LC.a-� <br />9 =�(/!-� r <br />\n..��0 � _ _ . .___ — <br />/ ���b / '_"'___"' ..S�rert <br />"___' . <br />__.'_'_'_____"'_ <br />_ _' _' _"""_' _' _' _ "_ <br />7'hc work to be exec�ted by_.__.___ �-�---- <br />___ . / <br />._____.._ ' er <br />_ ""'__ <br />Slale /si.z/r if lap. --". � <br />-"3/-Y' Pap lo be inserteii u. fhe main. �/, <— �''e • <br />'-'�'-'_'Waierdouu[ �J �— <br />'-'�'-_'.8ath <br />� ---_ .Urinal <br />- ----_Plain f:mcct insidc <br />�-----__Sidc �calk u;�sher <br />' --'- -' _Hnse bib autsidc <br />. _--. _ . .Ilose bib for building purp�:sc; // <br />. . ----..Hnsc bib inside / } <br />.-----___liib (nrstahlc containin �f � <br />g.______.staP_-- ___ �i <br />� -'_Num6ern(pirsnnsin(amil}, <br />. ...ii__.NumheroCronnisin huilding � <br />7'hc pretniscs are tu Le used as a' ___ <br />-___""'_""' _ <br />_'__" <br />_..___ '_".. <br />ic u�cnM u Iitc prcmises is .._'__. <br />_.._.___... <br />____'__ <br />Thc a�enl is . "'...__' _ _'_"_""_ ' .. <br />.__.'___"'_..._. '_ <br />I'I�is ap�;licatior,. ;il[hm�7;h signrd, shall no; be bindiug upuu tl�e City, until ai�. <br />ed by The Super�n:endent nf tLe lVnter Uep;vtment. <br />Signed _"" �. ✓�- �� <br />� ��— %-� �'—'L�— <br />Acceplrrl � '����=..APplicnrt <br />�" �� �� '���' - :��. <br />