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F <br />w�• �-f 3-�k'- �� _. . . , _ . . :. , <br />-� _-. . , <br />�+'. n. ea��� �-i�oo-e.aco.-c.�c-sa ' ' <br />Eity of Evei�ett� Water Depni�tinent <br />AP�LICATIQN FOR WATER <br />Ali Llnnks mt�st bc filled in or crossed out <br />Lverett� ................_��1.:...�...............................1 �J2..�� <br />TO TIIP £UP�RINTliNDENT OF TAIs \Y:1TF.R.DEYART\fENT: <br />CITY OF EVliIiETT: <br />I hereLp ,»,pty tor the use of o•:der in accord:mce �rilh the r�iles nnd regu- <br />lations ot the \Vntc� Depnrrnicnt, tor purposes nnd fixtu.es stated below. <br />During thn ' m�a that nny ot lhe �entcr mnins mn}• be lnken up b�• reneon.. <br />of n»p impirocemc•.t; a�dhorized by lhe Cily of Pvcrett, Gt or of nny street or <br />nlley in which they may hnce been Inid, thc City will not bc requircd to furnish <br />wnter dm•ing tl�e �a�y•ress of euch improcemenls to nm� consumer �vLose supply <br />may thus be cut �,if. �rr /Le Iii�Lle for nny dnnm�ea for its fnilure so lo do. <br />Applicntion No_ _.$... �.3_,.3............ %z 9 / <br />Block...2......'.../.....::.. f....i._....... LoL�..."........_.�...._.........._...... Add..._._._._._........................ <br />No.....d. .T � S/ i-...../. /� <br />. ._........_�... - f�••LG/�(Jt<GG.�SCMCS <br />......... ._.........._.....P .............__. ...._.............................. .. ..... .................. <br />. . .. �........ ..._....... . <br />The �cm�k lu be executed by.......� .�..G ................Plumber <br />Stntc eizc of fi ��- � � ' -- <br />r--. �. [ �� �I � <br />... �`].cTan to Uc ins�rted in thc mnin} �� � <br />......,l........Nntcr closet �'��. ^ � <br />..._1.........nact, �s"' 1i AR I ,.. i923 <br />...... ......Urinnl CiiY fi� E'ir.itET( �'Mt�i G`��T <br />� <br />_�-.....Plnin fnucM insidc . •��� ................. <br />.... . . . . ........................_ . <br />. <br />i <br />.....�.........SI(�C R':1�}: �vnsher <br />..../..........Ilosc bib outside <br />....."-.......Hosc Uib far building pm•poses <br />................Ilose I,ib insidc <br />...... .......Bib for stnLle contniuing....................slnll..............._... <br />......--:......A'umber of persons in fnrt�ily � <br />R <br />...,,,2......Number of rooms in Luilding <br />The Premises are to be used as n..... ...._�-Q.-S��........... . ... <br />'"Ue ownet of the ;•remises is.....y�...�'�---�,�� ����-........ <br />.......... . ... ......... <br />agentis ...................................................................................................................... <br />dication, aithouqh signed, shnll not be binding upon the City, until <br />: e Superinten�t of the Nnte D, rtmen�t. <br />'d.�... . /.t.Cu.YL��.C/C ./:83?A_ ..................._Applicant <br />. � �i <br />'... :.�.�2...... By_(�.�i' f�,.:.«Z, . ...... . <br />... ....... <br />u��,- "Superintendent <br />U <br />�S <br />