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lC. D. Fcc� R Iu00 J-'-i9 G. P. ' • .. <br />CITY OF CVE�ETT==Water Depariment <br />App�icatiorn f�or �3T�ter• <br />\II Ulanks must be filled in nr a�ossed%%ut <br />�u/,�� 'ld'_c' _----- 19 <br />Everett, _ _ _ _ ✓,} <br />"PO "I'IIIi SUPGRINTGNUIiN7' O�G LVATER DEI'ARTNGNI', <br />CI1'Y OF ti9L•'RE'I'T: <br />I hereby :ipply (or the use of watcr in ,¢cordamce �eith thc rules and regul:r <br />Iinns at The 1Va:cr Depar[mant, fnr purpnsc:, .�nd Gxtures stated belmv. <br />Uuriv.G tlie time thnt anY oi the wat<•� mains may be [aken up by reason o( <br />:w}' iu;pruvemcnts auUmnzed 6�� [}��. Cit7 of Everet[. in or a( eny streel ur :dlri' in <br />whieh thry maY have been laid, Ihc City �vill not Le required tn fumish �vatcr durin�, <br />the progress o( such improveinents In any cour�nter �chnse supply rnnc Ihus be cut <br />��If. or bc I�abic tor any yd:smJ�.�ag}'ti)(or its failurc .o tu do. <br />ADDlicn[ion No.__!_/__/_..P�___'__'_' � <br />n _ <br />Illuck.._'�%�_ __'__I."t'__./_ �_ Z%.'_Add.��-t1'�. _ <br />__.. - <br />Vo.__.'��.� __ _"_'"__"__'.Strce[ <br />._.._.__._'_...__"_ . _________'____ __.___'_'___'__'_____'______'_ <br />_"'_"_ <br />'I'he wnrk to be executed by___ "_'_'_'__ _�-____'____' Plumber <br />S.:ite s-jze nf tap. <br />/ <br />., Z Tap W be inserted in lhe main. � � c <br />.--_-./-_.Wnterdoset / C'� �.. <br />- - .. _ /_ _ I3ath <br />. _ . _ _ _.—�rt�F— <br />. .. / _ _'Plain faucct imidc <br />.. _'__ZSide-wx{klnshr� <br />-_ -.�-"Hase7ibottlside , <br />_"_' "_liasel�il�foramikkr�-�mrptfies- (r �', <br />\ � <br />--' _"_'_'liucu-bi}�-ir.�'.,.�.�- i� <br />n�r.�,,.�...�mknirrini;.—_____-__.stall.__ . .tl <br />-_'_ /--_ Numbcro(persnnsin(amily �_ <br />_____S2___Num6er o( moms in builciing . <br />'�he premises are lo he used as a _ _ _ _ '_ _ _. _ e �i R .�c._� �_._ A+.. �e. . <br />._ <br />'Phe oa�ucr o( [he premises is . '__ ' �<�C �G.o � <br />___ ____________ <br />'Che aHen[ is.. __".____..__ .__.' <br />This application. ^Ilhough signed, shall �mt be binding .�pon the Cily, imtil r�c- <br />�J by The Superintenden/t �af,i! W�te� `jpartmenl. <br />Signed___�!-e�� C�M� ._f`_J. __ _' ______._A licant <br />'ePted_' .__,_ ' }' ` _ <br />,..' ___"."', I �y_'_"__-__-'_�_'__"__"�P'__" <br />. ' � S�r,srmirndcm � <br />� <br />,�,. ' '�t �: ii n- " . _ _:Y - ._ _ _ ._ <br />N� 1 ts " <br />r .i� �i� <br />� � .., i ., . - � <br />• �t �� f � <br />i � ' <br />� ,� � , Y ��n' � • • �, r. ,i 1�. � � . . . <br />-i .-. .1 ;�. ._. . _ � , . �.. - ��� <br />� . ,.� . . 1 . .. . . . . . . . . <br />