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7p . ,_.)d=. � c, <br />'h'. D. Form I I500 J�I-17 C. P. <br />._ ,-;'i'7_> /'9 _) (f_'��"%� <br />CITY OF EVERETTa=Water Department <br />tipplication %r Water <br />All hlanks must bc in or crossed u . <br />����r<<,._ _ e- =�_.1- — -- -.,�s� <br />"PO THE SUPERIN'PENUIiNf �'1' 6 NATER DF.PAR7'n7EN7', <br />CIT OR EVGRETT: <br />I hereby apply (or the use nf water in accordance ���ith ihe rules anJ regula� <br />tinn: of 'Ph; �Yaler Dzpartmen[. tnr purpuses :md fixtures stateJ belnw. <br />Duno4 th� tiihe that :my nt the water mains may be taken up bp rensnn ot <br />anY imPr.�-. em^nts autlmrized hr Ihe City of 6verett. in nr o( any sVeM ur alle)' in <br />n•`iich [hey mvi have bcen I,iid. the City will nut be requirrd to furNsL watcr dw'ing <br />tiie ProGress of auch improva�nrnts tn :ui>' rnnsumer nhose supply mny thus be rut <br />n(L or bc liable �nr any dam,� �cs (nr its tnilurc �o to do. <br />��� O <br />ApPlirntiun o�.] _�r!" �"'_"_' , <br />Rlnck _..��-Y"� � - -I.m---/�_�—Add-----�---------- <br />G <br />I�u..��i ..�_(/�i!�'_.._'___"..Street <br />.___:.._."_"- ;7—' .._'___.__._____"_"'_______"____'__""_"". <br />'fhe work to be cxecuteJ by.__.__--"'--' '---"---'-------- Plumber <br />SU�tc s�c o( tap. <br />.... �.2- Tap to be inscrted in the main. <br />___.___�__\Valer dnscl <br />___.___�.11ath <br />___ ._._ -llrinal <br />_ _ _. v -Plain fauce[ insiJc <br />Si.i.. �v�14 ua5ltCi-- <br />'""""_ �{pc 1�111.IO�liM1�(ii11r.'(IMTjf�IIL�� <br />� /�uv <br />i <br />��I:YHlFNII -. / : <br />"._'___ .. ^� <br />_""'_" I3ibtorstnblecanlaining.____.".__.stall___�___ <br />_' _'_Ncmoeru(penoneinf�nuly '_ <br />..__�____N��mbcrofroomsi.�building / <br />'1'he premise; arc to be �ucd ns a j .-_ / ____. � _. _.. <br />J/�J _.7�jf <br />: �`'�� l'lu ownM of :he pn•misrs is _ _ /!!LO C/ / !/l.""'_ �� " <br />t-'_"_" __-_-'__"_"' "_ ' ' ' <br />Y�; <br />- TheaHentis ---��--�---�---"----'-------- "_------'-'—'- <br />�- This apPlicalion, althouFh signed. shall uot be 6inding upan the City, u»til ac� <br />'�i ccpted bY The Superiniandent of the 1Vnter Ueparlment. <br />[ '�. � ,.1 SiKned _� _��/'�`^� Lb �-.../_ /. -Applicant <br />r , �, <br />\ <br />S� . ,..� Aec�P�u�.. � /._./�'t-��i191� �3. . - L¢,�-- ------------ ( <br />1 � j ��" / � _.'�q..r�intcdem <br />�� <br />�� �. <br />