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. G .Y-. �_ 8 '.�O �- p .?� <br /> • N'. D•Ponn� 1SGO J 1-17 G P. � ' <br /> CITV OF �EVERETT==Water Department <br /> Ap�Iication fc�r Water <br /> ."I binnks must bc filled in or crosscJ uut <br /> S 'fl } ^ <br /> lvcrett--------------�-------'/---------------.19�Y-- <br /> TO THE SUPIiRIN'1'ENDiiN7'OF'PIIE WATCR DIiPARTilIGI�T, <br /> CI'Cl'OF IiYtiR87'T: <br /> I hereLy apply tnr the u:e of e•ater in acrnrJance with the rules and regula� <br /> tiuns n("1'ha lVa[er Uzpartm.�nt. (ur purp(nes and fixtw�es stated bclo�r. <br /> Uarin�;thc timc Ih:u �iny ui lhe �cater mains mac he taLcn up by reacon ot <br /> anY impruvemcnts authnriud hy [hc C.ity n( livemtt,in nr of anc strcel or alle�� in <br /> whicL thcy m,ry' have bcen Inic, thr City v:ill nn[6e rrquired to furnish a�aler during <br /> the Prngress nf such improvem,�nb tn any consumer �chnse s�q�pl�� may thus 6e cut <br /> nf(, or he 1ia61c!or any dam�iqc; Inr its tailure so to do. <br /> Appl irnlion Nn."""""' ''_'_"" <br /> Blad: �_.tg'V_'" _ _I.�t._'�_"2_"___'AdJ --'_ ._'_"_'__... <br /> \o..____.�.�.Q(. �_.Ctc��D.'_______'..____..Strect <br /> ----' ----"'-...-"- � -----'------._.-------""--"-'-"-"--"---- ' <br /> 'Phc wark lo be c�ccuted bq_ .._____"'___ '_____._'___._..___'_' Ylamber <br /> Sta�t/c sizr u(lap. <br /> _�/ 1'ap[0 6e iusrrteJ in the ma.in5. � q � O/ <br /> _"'_'_ '/ .� ' <br /> Y .__Natcrcloset � . <br /> ------ ��,��, � y <br /> - . -- --- u���„i ... <br /> : <br /> r.,.,, <br /> ___'____Plain (aua�t insidc ,�'^': -- <br /> � �I/,lj�� I .�: <br /> b �� <br /> ._______'_Sidc �callc ��•ashcr �. . <br /> � � . <br /> ' .._Hns'ebiboutsidc � . . <br /> ,h� i' . e (� � " �� <br /> — -- <br /> (�... """_._Hosebib (orbuildingpurpases g . . �. - ! <br /> It' .:�.�, a \ ,`� L�__ • . <br /> � �'� .'_"'____Hnsc�ibinsi�e '�� " � , �. <br /> i:, _ �� <c• /;�� <br /> 4'�. i, . _""'.'__[3ib(orsta6lecantainiug.'.__.__.__stall.___ __._' �:- L` � :� ' • <br /> r "¢p^. . .___NumLero(persuns in (amily '.�� ���_. ��,�: <br /> 1 _. .._'_'Numbcr uf roema in building <br /> �_• 'Che premises are In be used as: '_" '_'_""._"__._._"""""'_'_ <br /> �^ _'_"' <br /> i:� �� .•fhenwnero(tlicprtmisesis _____'..x.t3�C�.�-/�'-:�--5?"���______"____. <br /> li.. , . <br /> � 'k�: Theagentis _"_-___ __. _...__.__'__" .___'____._.'__. ___'_.___' <br /> ;r`�''�' ' TLis a �Iiratinn. :Jthuu h si ncd,shall nol Ue bindin•u nn thc Cit until ac <br /> � ,...3.,_ , m �: �: �, n >�, <br /> t�� , <br /> �� Cept�d by Thc Superini�nden� ut the 1Vntcr I)eliartm�nL,7 <br /> ♦� � �: . .. Signed a�-� �. J� 1��l[�!_f �'� �i ✓_�_' ilpplicant <br /> C�+B:�.S :lccepled_ _�.'�-0_ - :_19h- = By.:� . <br /> � ' _- . c.�v�i�ne::�..oi / <br /> �. t` e� 9� ��� 9a _ �._, <br /> �- .�.ti.�_ <br />