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�:�..� O' J�'.-" : . . v _ .• .. - . , <br />i '. . <br />W. D. Form � I50a �-�-� � L. P. <br />CITY OF EVERETT==��ater Department <br />Application for Water <br />;\II binnks must bc �i11eE in nr crocsrd ����� <br />F.ecrcit..._-'_-__________""_.__. <br />._.__'. .._191._.__ <br />•P�) 'PIIE SUPI'.RINTENUIiN'I' OP'PIIB WA'CIiIi UBPARTDIIiNT. <br />CI'1'1' OF li`IIiRG'I'T: <br />I hereby apPIY (��r Ihe use ��( ��':�Ier in :�ccordance ��'ilh ihe rules and regula� <br />ti,�n: a( 9'he \Yatcr U:partm �nt. fur Purpnses :�nd fixtw'es stated below. <br />1)urinti thc time �hat any of thc �catcr mains mar br takcn up bY rcason uf <br />fllll' illln(���•�'����tltY BUIIIU(izetl 1�\' l�ll' lilY O( I.YC(etl. i0 O� O( 8tl\' SlfeCl I)I' 8111'\' i➢ <br />o�hich lhcy maY have been I:�id. U��• Cily w'ill mit be requircd tn lurnrvh W'ater during <br />. thc proRress o( sud� improvements tn any rnnsumrr whosc suPply mny thus bc cut <br />ufL ur be liable (or any da� �f;cs [or its G�ilure su to do. <br />� j�J � �% <br />Applitntinn Nn._�'_`.'_(_"_""""" V—lA�t-a.�.C.: l�• <br />-- <br />Rlock .-•3�_C _ _Lot____".__-�_-.'-Add..___._ .. <br />,�j ' _._ Streel <br />!�/O.� _((L.�F,u/L.'_"'__'_.__ <br />\o.----- <br />' _""'__""'_"'__"'_'__"""'__"__"__"_"_'_'""'_"__"' <br />___ ._._.__ ..____.._ I'lumbcr <br />'fhe wurk tu be eseculyd be. _ _"__ _ _ _ _' <br />______'__"_ <br />titate s e n( Inp. <br />_7'- / n �o <br />��'Pap tn 6e ins.•rted in the nu�in. _ <br />� � " - R'atcr docct <br />___.___.__Baih . .�"_.����� <br />____ . ( ,�.^' �, <br />-. ___ .Urinal ., � � � ������ �`. <br />.. ' . _.Plain fnucet insidc :-�� � �. � 1 <br />_ '_Sidc walk �c:�shcr �; � � '_ <br />i <br />,_Ilasc hib outsidc �I � <br />' __'---H�xsc 6i6 (nrbuilding Purpuses �.t . � �.. :. <br />1; � ♦ <br />__H��sc bib insidc � �;, 1 •( � . � <br />� <br />._" __.ISibfoistablccuntaininit..._- ._.-..stall...�'4i'1`_ (` .. . <br />_. . ��{ `� .. <br />_ _ __ _.. __.tiumbcr o( Per.uns m tamily +�(. <br />- �'� _"Numbcr ��f runmt in buildin{; . <br />� ""'_"'_...'__"'___ _.._. <br />'fhe premisec are tn ba used as :i .... ---"--- <br />.___ ____ ________.. <br />7'heo�cneroflhePremises�s . .__- __'--"". ' � <br />Thca6enlis .___'._. _. _ ____ __________ ___ ___ '.__.______. ._____.___. <br />7'hie applicaliun. alUmuKh sii'.���'�t. shall nut hr Uinding uD�,�� thc City. unlil ac� <br />��epted by T!ic Superintendent ct'hc \Vn;e� Deparunent. <br />� y') � � ApPlicant <br />SiKncJ 1.,�(R �1./c� _.... <br />� �_" <br />� _..' lll-r• 13}.�';,-r-- ._. - __ <br />:lcccpn•d. ; �� . �---- _. -- �v. ..... <br />