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:Yo'� ..— ._ ... . , ._... <br />^W. D. Form I 1500 �-1-17 C. P. <br />CITV OF EVERETT==R�ater Department <br />,t�pplication for Watea- <br />All blanks mus[ be filled in ur cro� �>ut <br />_ �� <br />licerett.-.-__ . �__. __._.____19�.__ <br />TO 7'IiB SUPHRINTBNUb:N'1' OP � G �VA"PIiR lllPAR7'\IIiN7'. <br />CI'I�Y OF [•.`J6RGTT: <br />I he��eby apPly fnr the use of �caler in accnrdance with lhe rules and re6ula� <br />[iun; u['Lhe Nater Dsparnn ml. (ur PurPoses mtd fixtures smted below. <br />During the time thac :inc o( the �vmer mains ma}� be taken up by reason a� <br />:iny imPrnvements autho:iacd by Lhe Cilp o[ Hccrett. in or of nnp atrcet ur alley in <br />which thry m:il' hare been laid. thc Citl' ��'ill nul he requircd to (urnish «�ater during <br />lhe prn�ress of sudt imprnvemenls to any tonsunter w'h��se supplc may Ihus 6e cul <br />a(L or 6e liehle [nr anp dn•m/ages (or its (Nilure so to do. <br />ApDlicnliun Na."�y� '�I-�----- <br />Rlock vv_//_.y_�'__' .__IuL_('_�_�.:-"_"'_"Add. . ._...__.... <br />_ <br />No.. / p'��OU/L�t�Ci�'•____..Strccl <br />/ <br />'__'___." __'__'__'__"""'. <br />'_'____ '_"_ "___' ' ___"_'__'_.____'_ <br />7'he wadc tn be ezecuted LY____'____'__' "-'-.'--_- -...'--_-'_ Piumber <br />titate s' .e u( tap. �/ <br />�'l�ap t�� be inscrted in lhe main. �/ r V� <br />J <br />. _ f. -_ 1VAIc� Cinget <br />_-_�'_-13ath <br />___ .Urinal <br />__ .Plain (:mcet insidc <br />�� ____Sidc u'aik �cashcr <br />_..._Hosc bib oulside <br />' .__ _. _Ilosc hib (or builuinA P��rposr.s � ��� <br />____'___._Ilosc bib insidc �-:. <br />�' _'"__"'__'Ri6(arslablecontaining_' -.--.- stall-.-. --_-' j��: <br />V <br />� "" __"'Numberu( persons in O�mily. <br />_._� Numher o[ ranm� in building <br />'1'hcPrrmisesare[nbcusedasa_--_. __._-"_ ............. _' -' _._"' <br />... �Chrownetof[hepremis'esis""_'.-_'-_'.-._ . .--_"'___""__'__'_ <br />'fhc�Acntis.""'_ ' _.'_"_'_'_'__"'_-__ _'_'__'_"'__'_""'___ <br />� fhis :ipplication. althnuph sipned, shall nut be bindin�; uP���� ihe Cil,v. until ac- <br />,., 'vY 7'he Superimenden[ nf the AV/i�t�er ,U,c�/p�nr[mcnL � <br />SiSned___/�f ��v--J/-.L��- '__--.____Applican� <br />.i . �� . <br />` �r:�.,�p;ed - .__..�J1z. 11��.� '_ _. _'.__.-_"_"__ <br />—��3— � s��: :,�,�,. , <br />