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� _ .. . .�. �. . ��J�%- � . -'./-2 --r:. <br />;'. L. F'cnn 4 I500 3-1-17 C. P. <br />Cl'l'Y OF EVERCTT==Water Departmee�t <br />Apgalication for W�+t�r <br />All blanits mu=t 6e filled in nr crossed ou[ <br />/ <br />3 / --- - -- �9i ?_ Y <br />e���«c.--- ---- `� =-- - <br />'fU "I'HB SUPGRINTENllIiN"I' O� Ti�IE NATF,R DGPAR'C\ICNT, <br />CI"fY OF E'/IiRG7'T: <br />1 hereby apply (or the use of �eatcr in aceordance with Ihe rules and regula� <br />tiuns uf The Warer Departnrnt. (nr P��rP:;�es and (xtures stated below. <br />During thr, tiine that :my of U�e water mains mar be C�ken up bY reason of <br />an}' improvcments auU�nrized hy tiir Cin� of Evcrett, in or of any strcet ��r alley in <br />�vhich theV maY lu�ve 6een laid, tl�e City will no[ be rrquired �o (urnish watcr durin� <br />the Pro�recs o[ such impravemen[z lu any eunsumer �cho�e supply m:p' lhus he cut <br />n(i. ar Lc liable ;or an)' /d/am:�Fes /fu�r its (ailure so tn dn. <br />1.Pplicn[inn No.'__/_�� l-"____" fj <br />'3'�— yU 1dJ_ __'_.. ______... <br />lilock __'�'-�-�-_�'_LoL - <br />_"'_' __ '_ ` <br />�� �_ - . Strcet <br />.,,.. %/��_- �`�=` =�` '-- <br />--- - - <br />_ - - -- / <br />-- --- ----- - ---- - ------ - <br />'1'he v;nrk tn l�e executed 6Y---/- - --�---- --- ----- PWmber <br />State size oi UiP. ,/�- �� p a <br />.. f�Tap [o bc. inscrlcd in [hc main. —7 <br />_____ C _Natcr cl��sri <br />... __,_13a1h <br />_.._'- .Urinal <br />_"_'Plain (auret inside <br />_'___'Side �calk ��'nshcr <br />�.� <br />.._'._".._Hnse bib outsiJc <br />_____""Hose 6ib [orbuilding P��rpuses <br />_ _ _ _ .. _. _. Hnsc bib inside <br />__'_'_'__{3ib(orstablecontaininF'._._.--- .stall___-.-- <br />. _'_' _ _ _ .I<wnbcr o( Persuns in (nmily <br />___.�__Num6er nf rooms in builciing <br />'fLrPre�nis'es.retobeusedasa'__' ..-....-- _....' -""' <br />The��«'nerofthepremisesis_---- �---------�-------- <br />.._____- ____-. <br />TheaHentis.._______ _'.'____"___'.-___"___.. <br />..... "_____""_ ' <br />'1'his applicition. although signed, shall not be bindinG upon tlie Cily, unlil :m� <br />ceptc�l bY �fhe Superimen,dent a( the Nnter n�c„?u»c��c. <br />SiKced _�.CL%-`-'— � t%'-u"`i�-\."__'__"_Ap ':mt <br />^� <br />Accrn�rd - _ ._._191 11 ___ C . __________________. _ . <br />-�-.�f _ �i/, : - _.:�,�„���.�, <br />� <br />