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�P�—/o_i7_�--._ �. L�,v-,..T.�„-_!5;:..-.�. <br />W. D. Fmm � I500 3-I-17 C. P. <br />CITY OF EVERETT==Water Department <br />Applicatiori for Water <br />Atl 6lanks must be fil in ur cwsscJ ut <br />� <br />lircre.t..-___ �� ..__"'"-__19�'-a+.. <br />'I'O 'fF1E SUPtiRINTCNDF.DI'1' OF'I'I1E 1VATER UEFART�1EN7', <br />:;{7'1' OF Ii`%ERE7'T: <br />I hereby apply fnr th� use of watcr in accordani�c �eith 'he rules and rrRula• <br />ti�ru uf 'I'hc 1Vater DeU�rtm-n4 (nr purposes :md fixtures state�: bclou•. <br />DurinK t6c time �hat :�n}� o( the water mains ma�� 6c taI<en uP ny rcasun uf <br />:mc iumrovements au[hurized br [he Citr n! Everelt. in ur ut any sirect or allcy in <br />w�hich thrY �naY have been I:�id, thc CitY will nut 6c requi:�.d �o lurnish water durin� <br />the prugres-s of such improvements [o any rnnwmrr x�hur.e suppiy may �hus 6e cut <br />u(f. ur bc liablc for anY^ �����»K�'� tar its G�Jure so Iu do. <br />Applirnlion No.._l-`.? y3--------- . : <br />/ ' . <br />Rlnck �,._. _ _ _Lol...�_/.. _ Add_ _._..___'.'___. <br />____'. <br />___. _.__' <br />`��.__5Ll ./.6- - ------ - --- - -- --.s�«��� <br />----- --- — --- -- --- - -- ---- <br />'fhe �cork tu I:e esccu�ed b>'-___. _____'_'__ __.._-___-__ __'_. __' Plumber <br />Sl;lc 5izr uf �ap. <br />�/y •Pap tn bc insertccl in thc main. <br />_ _ _ � � �""u O <br />�.__R�atcrclose[ c� � <br />-'_._�___.i3ath <br />�. . , '_.___ .Urinal <br />. � .r-,-:-�` '.•. <br />____'___..Plain (:tuccl insidc .� ,^..,y a,;�o�'!• <br />i . . . ,,. ` ` J 3.�.. y <br />Side x•nik �eashcr ', "."'= .� '•G ♦ <br />� '_"'-_' 'llosc bib uWsiJc . , 1 :�. � . . <br />� �r <br />__"'_ _...Ilo=_c bib (or buildinH P�upu<es , - . <br />:� __'_"_"Hnsebibinside ..V�'. . <br />{ <br />._"_'__..Uibforstnblecuntnining.._-'___..-stall,._� ' <br />___' '_G{ <br />Numbcr ut persuns in (amilY � {�. <br />� __._ y'--Nwn6er n( runms in building � ' <br />'I'hePremises:�retobeusedasa .__...____'._"'.""�"_'_""_" ".... <br />'I�he u�vner u( the prt mises is ____'..____'._. _'_'_.'. __. _""'_'_'_""'___'. <br />7'hc aKent is _'_'_"""_. """"_"'_' "_..".'_""'"'_"'__""_"'_ <br />This applicalion, allhough signed, shall not br bindinµ upon ti.e Cil)•, imtil ao <br />ceptc;l by The Superimendent of Ihr 11`nter Ueparunent. <br />��%'"�yfr�n � A ilicant <br />Signed__ iCo._ 'DVlvv�_r.e�-�—_-- PI <br />:\c.epled_/�._ /...�i-.._ � ' _-' <br />" " <br />_1J liy_' ' ""'_" <br />�""'"'" SubmintenJmt <br />