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., /_iir9 _G- r-,-_ ' . � h,� r'D. 5- 2o-z4 - �-� , <br /> W. D. Fcnn � 1500 d-I-17 C.P. . r , • ' . <br /> CITY OF EVERETT==Water Departmenf <br /> Applicatic�n for Water <br /> :\II blanks mus[ be filled in nr crnssed nu[ <br /> livcretl..___- ` • <br /> . ._'_'____.___'v- -_.:2'�.____1��.. <br /> 'f0 THE SUI'IiRINTENDIiN'P O�THB NATER DEYAR7'�1ENT, <br /> CI'll' OF E7ERF.TT: <br /> 1 hereby apply (nr �he use o(�,vater in nccnrdance �vi[h the rules and re8��la� <br /> �inhs of The {Vater U:partm�nt, (nr purposcs and fixtures slated 6clmv. <br /> During the time lhat anp oi fhe�rater mains mar be tnken up by reasun ot <br /> :m}' iinProvrinents authorized b�� thr Ci�y uf EvcrcU. ir or n( any street nc alle}� in <br /> •,vhich lhey ma)' havo been I:rid.�[he City will not be myuired to fnrnish water during <br /> tLe prngress o!such improvements ln�ny rnnsumer �chnse supply may thus be cut <br /> ��G nr 6c liable(or any damp;�ges�or its failure so Io do, <br /> ApplirntionNoq._'_�-_` �,.�____p � <br /> Nlnck ._/'�.3✓��>'_'..LoL"""(�. '."r/ <br /> ."__"___ .'__. Add______..____.___ <br /> \i�...�fo.�.�-ZV.fc-�-c4i <br /> Strcet <br /> __"_""" <br /> "_"" "__"_"__'_"� <br /> "'_' <br /> " _"_"""'_'_"__"'_'_' <br /> 'fhe �cnrk �a be c¢eculyd bp.____.____ -/},�L �,� • <br /> " ZL.__. ._.__ Plwnbcr <br /> Stale:'truf ta[�. . <br /> -- �"�Tap tn be inserled in thc m:�in. � <br /> ___' �.__Naterdnset <br /> / i .. <br /> "_"�"'_Uath J = ��_- <br /> -_. �!_ .Urinal <br /> ----�--_Plain fnucct insidc <br /> . --?-_'_Side waik ivashcr <br /> / <br /> �-----__Husc bib nutsidc <br /> -�-i--__HosebiL (orbuildin� � <br /> 6 Purpuses <br /> ---�t'__.Hasc LiG insidc 'i � <br /> -_-'-`._'_Riblarst:iblecuntaining._.-_�_..�t:ill___ _" <br /> .___ ___.Numbcrofpersnnsinfamih• <br /> ---L�__Nuntbern(roams in building - <br /> The premises are to be used as n_._ _�� <br /> �-�aZ_''..__ _ ___ <br /> 7'he nwner n(lhe prcmises is ____ _ ([_.-!-( <br /> �• �G.��.0 <br /> ,Ti,�,���u �s -------- — — <br /> ��Fis :y�plica[ian, ;dlhough signed,shall not be binding upon lhe lity, imtil :ic� <br /> ''he Superinlendenl d�he 11'nter Ue nrtmenty� <br /> �� '� �/ � <br /> ' SiBned _' "L1�� _e__ �ILr�G1 plii�mt � <br /> � �i' �D-- ��� Ra ._� _ <br /> �j1-�Fnr ...irm:.rt � <br /> v jr <br />