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F/L7` r'�. -�'�� F,�. . , _ . _ <br />W. D. Fonn � ISCO J-147 G. P. <br />l, <br />CITY OF EVERETT==Water Department <br />Applicatio� for Wate/r <br />All blanks must bc led in or �rossed oul // <br />._"'' � ��'_ `/���, <br />Gveret�....-' - -'---_ . �'� -'---'197_�I_ <br />'1'O THE SUPIiRIN7'ENUIiN"1' 0 1' 6 WATER DEP�IRTDIEN7', <br />7' OF EVERETT: <br />I hereby apply for the u nf waler in :icmrclance wi[h the rules :md requla� <br />tinns ot The �Valer Uepar[ment, fnr purpose� :md fia[ures stated below•. <br />Uurin�; Ihe time that anl' uf the water mains may be taken up hy reason o( <br />:my improvements authorized bp the Ci�y uf Ever��t, in or ot any s�rcet ��: alley in <br />�vhich Ihey m,n' have bi.en I;�id, the City will nM be rcquircd tu furnish walv durinF <br />ihe progrcss ��( such improvements tu any rnnsumer whnse suppW mny thus be. cut <br />nlf, or be Iiabie tor anY dam:�ges ( r ils taiWre sn tn do. <br />�7`�.5� <br />Applicntinn No.__' --' - ---------' ' p �,� <br />Blnck � �!'f'_ ' /Lo _25""_-_. ...Aud ��tt�f??�SP_ �'_'d-�l/ �� <br />� <br />� o� � /�a[/L'r.lAi7��7/�__..5!recl <br />ho._""' ""_ __ __-"" <br />_'_"_____________" . __.'__""___.__._.'.._.'___" "" <br />'fhe wnrk in 6e executed by-.______"""".'__"_.._'___ <br />.--_--_' Plumber <br />Statc s .c of tnp. <br />__�� -Tap to bc inseded in the main. �/s�� <br />""' _ .�' . W �f cr closr[ <br />_ _ _' _ "�aMT-- <br />_-- — �8rim�F--- . <br />_ . _"�_ . Plain fnucel insidc . . <br />_ ____"''Side-vraflr«;tsimt'-- <br />_________ kfose6ib-'mbnle � <br />.H��� �� ! �. :�—�:::iz->_ <br />�_' <br />su c <br />-iiiH-(�.Fc1�61..r..,.�o�.,:nit--. __'_ <br />____"__. ---:srm _'_.__.'_ <br />._ Number o[ persons iu family. <br />-'_-- <br />___ %�_Nwnbcr of runms in Luilding A . <br />Thepremisesaretobeusedasa ..._!`- _.___.. _._...__. .__.__' """ <br />The owner n( Uic premiscs is _. __� 'r� <br />Then6emis.'__'_____.._..._.__.:_ _' '__ _'._.__. ____..__"'___'_' <br />TLia applicatinn, althm�gY. siF���d, shali nnl be binding upnn the City, ontil ae <br />v The Superimendent o ic . U. mei � <br />Si ucJ '_"' -_ _"__.'_"' __' .'_'_ PPlicant <br />:plei�::'c: F-.tT.__"_"_'I�JI B>'._...'r""'.�� y�----.-------""__' <br />. 5uocrlmendent <br />i - � `y _;' �' ' <br />