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���• � v_ lo - r7 —i".�- ..� !".�r': uc.� . . . . <br /> i . _� <br /> N'. f.. F_cnn 4 IE00 J-1-17 G.P. , <br /> CITY OF EVERETT==Water Department <br /> ��'�' I Application for W ter <br /> � <br /> � .', <br /> ���� '', � � All hlanks mus[ filled in or cra(ss''e�'d n <br /> � F;verelt. ..__- %CJ .'_ <br /> . ' '__'_. . _""'..._19ly_._7/ <br /> TO 7'H6 SUI'GRIN'fENUEN7'OF TN ATER pF.PARTMFK'P, <br /> � - Cf7'Y OF H`1FRETT: <br /> `��:�,_• �_ � I herchy apply(or the use o(water in accordance wilh the rules and regula• <br /> � tiun:nf The Water D^pnrunent, (or purpnses and fixwres stateA belou�. <br /> DurinQ[he time that ang ni thc w•ater mains may be taken up by re�am�! <br /> anr improeements authurized br tiie Citr of Everett,in or of any s�reM nr aliry in <br /> which[hey may have been laid, the City will nol be rcquired �o lurnish waler durinF <br /> �he pmpress o(auch impmvements tn:my consumer whose supply may thus be cul <br /> off,or bc Iiablc fnr any dam�iges fm�il� (:lilurc vn�n do. <br /> APVlitntinn No.'_'.�a.�'�__'____- <br /> • � <br /> Rlock .-�_$rl__.�. /.-Lnt_�_''__�_____.____Ad�l__.._ .__."__.._._- - <br /> Kn._p�0/6 _.+�Y�� ---------. Sirect <br /> "fhe wurk tu be executed by..____'______".'___._____'____'_'____" Plumbcr <br /> Statc si>c n(tap. . • - <br /> � �i � _ <br /> � .,,...:._.� /� ���w . i_�...� <br /> ___�'Pap tn Ix inasted in thc main. .. <br /> .____'_.._H'alcr closrt �. <br /> "'_'.__.fiath <br /> "'..___ .Urinal <br /> ________Plnin faucet inside <br /> .___._._..Side e•alk�easher <br /> '_._._..._ilu=e bib omside <br /> '_'_"'_'flosc bib fnrbuilJing Vurpnses <br /> _______..Nasc bi6 inside <br /> __"_____Bib(nrstahlc cuntaining-____.__--slall.._..._._ <br /> ""_____Number ut Persons in tamil�• <br /> ____"___'Nwnber of rnoms in building <br /> The premises arc to be used ns a_.__. .__'___"'__"_..- <br /> __" <br /> The nw�ncr uf the premises is ____'._..__'___._.___.__.__ <br /> __._..____""""_ <br /> ThcaNentis .___'__..____ ___'______'___ .. ' <br /> "Phis nPPlicatinn.nithnuKh signed,shall nnt be binding upnn the City. until ac <br /> .rpted 6y The SuperiNend/c�i�(nf the 1Ynter Dcp-a�r,tmIcut. p v <br /> tii•tnra �/—"".I> �...,"i._/✓(sc�J-[CS�' ___'___'ApPlicant . <br /> _ ___ <br /> 'e' �� �__.1$r.Z ��- -�-----�-��_4�'_'___' <br /> Snp.rlNencrm f <br /> I <br />