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l_NTj� 3-y_ =° /�l <br />w. o. r����r < iseo a-i-n e. e. <br />CITY OF EVCRETT==Water Department <br />.�.��lic�►tion for Wat/(%� r <br />nli blanks mus[ hr �Iled in nr cros d nut_�/ <br />/ . � y <br />Everett�__._1�_�__<_�i��� -18>)D---' <br />__'_ ��`-__"-" <br />"I'O 7'IiG SUPGRIN7'ENllIiN9' OP'I'HE \9.1TGR DL'PAIbT�1BNT. <br />CI"1'Y OI: Ii`.'IiRE'I'7': <br />I li.,reby :�pplY (��r the use ni water in :iccordance with the rules and rei:��l;r <br />t;w; uf Tkie'Nntcr Dzparim •nt, [or purposes ;��d fishrzes stated bclo�c. <br />Lvrinp the time ihat :iny of L'.;. wr,ri r m::ins may be taken up by reason u( <br />:my intPravements :.u[horized br the City nf �.;er.-'t, in or of any siree[ ar alle}� in <br />�chich [he}� nnY have been laid. Ihe Gly wili not be required to furmsh x'aler durin�; <br />Ih�� proRress uf suth impmventent: to any ennsumcr �chnsc supply mny Ihus bc eul <br />nti, or 6c liable far any damaSes tnr jts L�ilure so to dn. <br />_ � <br />:1pplicnliunNo.'_ j��-• �v� � <br />__'____' <br />Binck '_� �._Lat_��`'tT'I'_���1dJ____ <br />_"� �� �� � ��J/' .'___""_.'_. <br />�''��-`���� ���'�'��� � Q_ � SVect <br />' � _�G�i / .'V�'"'.. <br />. _--...--________ . __.____._..__._.___.___'__._________"______... <br />'Chc �eurA !n bc r�rcu trd by _ . _ _ _ _ _ _"_ "' _ ' _ _' _' _' _ _ "' _ _ _ " _" Plumber <br />Stnte /cij e uf tap. <br />_�[•_�:_<_�Pap to bi� inv.�rted in lhe main. <br />-___ �___1Vatcr dnset �ir O P <br />��p /�� <br />__. _f.__I3ath <br />. ._-_ .Uri�al - . <br />r .� <br />_____....Plainf:mcetinsidc ,,;{<': .�_j _� -.. <br />______Sidea�alA.¢asLer � /(��!. <br />��' � � <br />_ - _ "Has'e bib uutsidc f � ' �i � ; <br />..___. _'Flose bib (n: buil<iing purpuses �: , �.:. ',. <br />' -""liosc bib insidc stall_' � � <br />Uib(orslahlccontaininH.-_____ ..�:2��'f--�_ �,( . <br />-' _ `�—Number uf persuns io. lamily ;� �_s:. - <br />_ _��'_'Number nf rooms in huilding . <br />"I'hc Premises are to be used :�s a _ ___. _ __ _ _ ___ ___'_' _ <br />'_-_'-�'_'_'___ _ <br />l�Lc rnvner u( Hu• preinises is _"".... _. _ <br />___"_'_'_______"_"_ _ <br />'Che ngen l is _ _' _. _ . . . . <br />..___-______ ... _ _.____'___..__-___ <br />This :�pplicaliun, al[hough signed: shnll not bc binding upnn thc CiIY� uutil ac <br />cepted 6y 1'he Superimendmit u( the N� �r Dep. �tment. <br />SiSned .. _ __ _ ___' �c_""'_"_"_' . "'""_"ApPlicani <br />Accepted`�_—�-__"1� '+3'-_/��'- �1' � <br />..__-___.S�u�i�n.ni��.i � Q <br />� , � : t 3 :� �� a .�' . , <br />