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�i <br /> r. . GN7'1� 7"-/ �--Y-A/� ' <br /> W. D. Fonn { I500 �-1-1 7 C.P, <br /> CITY OF EVERETT==Water Department <br /> Application for Wa/f/+jer� <br /> All blanks must bc d in ar crnsscd ul�v <br /> _ /�I�T� <br /> � Eccrett��-----• ' "---- --"'.- - t--"----1�--- <br /> T(i THE SUPIiRINTENUIiN'I'O� ' ti WA1'iii2 UEPARTMEI�7', <br /> c • or• rv�ize����: <br /> I hereby applY f�r the use n(�cnter in aecnrJance�vith Ihc ruics and requl��� <br /> , tionY uf 7'hr 1Vater D�p�rtuu:it. (nr purposes :md li�uire,stated bclnx•. <br /> DurinS the time ihat :mp oi thc watcr mains m:ry•hc taken up 6y rea.on of <br /> :urv improvements authorized bp tlic City of liecrelt,in or oi any slrcet or allc}• in <br /> whidi thcy mnY have been IaiJ. tLe City �cill nnt bc icquired ta Wrnish water durinF <br /> the progresx of such improvements to an>'consumrr u�huse siq�ply may ihus he cut <br /> uif.or be IiaUle for any danr:��es tor its (:�ilive sn tu uu. <br /> Applicnlinp Nn." ��' � � <br /> ' '"___"'_" <br /> �;��,�ti y'y� .. _.�.o�..L3 — � ,����. ---- ----- - -- <br /> , /O strecc <br /> --- --- <br /> .�._-�--- - - - - ------- - - <br /> ----...- � ----- ---------- ---- ---- -------- - - ----- <br /> 'fheaorktobercecutedb�'.._._'.___.____ _.. . __ . ._. ._ ... Piumbcr <br /> Stal/e�s ize of lap. <br /> .'/._�__Tap[o bc inscrled in thc main. <br /> _ / ___1Yatcr clnscl � /� � <br /> .__. _.I3ath <br /> ---.-_-- -Urinal <br /> _._.'.._Plain f�ucct incidc <br /> . ._____'_Sidcwalku•ashcr /✓UT- �. <br /> ti� ----`-���'�,�\ <br /> "__"__._Hosebiboutsidc � �� E'� <br /> \ <br /> .'...._._liose bib far huildinP. Pwpuses i . ... <br /> - . �' ..` <br /> 1 ��� .,� ' ��:`�\ <br /> ._.._..'_Flosc bib insidc • t . .._ll '��11 '�s , <br /> "13ibforstablecunt�ining.__.___. ._. lall7i _.'i <br /> ""'_ , 1;.///_. <br /> '..�-� _.Numbern(perr,�nsin (amil}� F.N_� ; <br /> -'�.-'Numbcr ot ro�m�s in bnildin�; � _ , j <br /> The premises are tn be i�sed as:� ___._.__.'__ C_r_ + _ �/_ <br /> '__"' <br /> C C ' <br /> 'Phnowncro`[hepmntisesi� __'_"_""._.._.. � ._"'__'_"'_ <br /> ��P,BRCOI B . . ..._. . . . . .____________________ <br /> This applica[iun,although si�;r.cd. =hn!'nol bc 6indin�;uuvn the Ciq•. until ac� <br /> :;d by The Superin�endent uf l'. er c �rtmc:u. <br /> ' SiFned ._ ' _ " _ . _ __�4)'C.__'_'A licnn\ <br /> � i: , <br /> P <br /> �• AccePted------- '--� -"_1�� I3y����-- <br /> , ._.__...s::;-imi.n.:�m__ <br /> .. . T.' _ � r�— /J� —N�— �-O <br />