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i��.... �r-t-�c r.,i.':,��,c.J-,7 Y� <br />. � <br />l4. D. Forin � I500 J�1-17 C. P. <br />CITY OF EVERETT�=Water Department <br />Application for VE"ater <br />All Llau6s wunl Le filled in or crt �ed out {,/� <br />, � Everetl.."'_-_"_ "' �� '_' '_""'__IYt lI_-- <br />'1'O "PHC SUPIiRINTE\UI:N'f OP'PIIB ',\TIiR DF.PART�IGN7', <br />CI'P1' OP EYF.RE7'T: <br />1 herrby :�pPly tnr tlie use o( �caler in accordance with Uie rules and regula� <br />tiu:i; u( The 1Vater Depirtmenq fnr purposes m�d I;xtwes stated Lebw. <br />Uuri�i� the time �hat any uf Uie �vatrr mains may be tal;en up by reason ot <br />any imprnvements authorizcd by tiie City ui li��crclt, in nr o( any �Ireet or allcy in <br />which thcy nn)' hare Uecn I.�id. Ihe City �cill nnt bc required to (urnish water during <br />the Prn�rcss ot sud� imnrovcmems to anp eansumer w�6aee supply may thus be cut <br />�:�ii. or bc lixble (ur an}• �d7annGcs �(u/r/- it. (a.h�re su to do. <br />Aunlirnlinn No."'_!- L�" (.��- � <br />I31ock-�-p--5 - -- . Lot----"---- ----'---Add------�-------------- <br />No�.l_�'?_. ���__.._'__.Strcet <br />.._ '1'he��rorktobeesecutedby______.___"'__'...__________________'_" PlumUer <br />Stalc 'ize uf tap. <br />._ �%'_9'ap tn be.inscrted in the main. �,(i / j � <br />� tJ� V / <br />___"_�_Watcrcin.ct �� <br />'_""__.. Q_��• <br />�__..�__ .V�111�11 <br />___"'�..Plnin fauttt insidc <br />_ . _ _ _ . _ _ _ _ Sido-wnllr��stm� <br />_ _ _ _ _ _ _ __Hu�Wl�.wt:tide � <br />� , <br />.Iius�6i6-tm� � 't �_�__,.-., � � <br />______.._ i <br />_.'_ �_' Ifosc bib insidc � . <br />.' _."'Hib-for�n �unamnig�_____----s1:�ll__.'�. <br />- ---11�aanl�r.iEpersrtnSYli7:lilit}7� � <br />_"� "'Number o( rooms in building � � <br />"I'he prcmises arc tn 6e used as a__�'e'�' <br />_. ._' -'`-P <br />` _ ' '_"" <br />_' "_' <br />, / '• _ <br />iheownernfthepremisesis C___'.___'___'�-'-4___�' P.__. _� <br />� <br />-_' _'_—� <br />l�cagentis -'----------�-------------'-'----,."----'__-�------- <br />�ia application, adU�ough siAned. shall nut be binJing upon the CitY, un[il ac� <br />I"�;.. by The Superinicndenl of the 1Patcr Ueportment. <br />.,� � <br />. �-�^ <br />i . {� � <br />� a:� 5� nca �-----�- `�".' `i^-r�bcr_�� �.i-G��{�`-+- <br />.? Y,_ � _. -- -- - rnhn�u <br />,,,�£; <br />` ncceplccl�-- - --�..-vC� �sp. <br />� � � _ <br />. .'�.�-'.5ut'eifntendem -- <br />