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h n� r� E. - i-a.-YY-C <br />w. n. F��,�n . �soo a-i-n c. P. <br />, • �Y' •�-r� (—�—.�-4 'a�. <br />Tj <br />�` ! 1 <br />CiTY OF EvERETT==Water Depart�ent <br />Application► for Wa�.er <br />AII blmiks nm: br fi:icd iii ur cropsccl uut / • <br />� � ' GccrMt.-. ���!__./Z-------191.'---- <br />/ <br />Tn 7'HF. SUPEKIN7'tiND@���'IIL•' \VA'1'GR DGPARTn1GnT, . <br />CI"fY QI� E`/IiRE1'7': <br />� I hereby apply (or Hre use o( watcr in accordauce �vitl� thc rules and regida� <br />ti-in, o( The Nater DeparUne�l. (ur purposcs anJ livares stated 6ebw. <br />During the lime th:i[ :mr nI the water maivs may be taken ep bp reason of <br />:iny improvemenls authurized br Ihr Cin• oi livcr��tt. in ur o( anY streel ur allec in <br />which they inaY have been Iniil. the City u-ilI not be rcquired to lurnish ��•ater dunnR <br />the pruFress uf such improvements U� any consumer whnsr supply may Ihus be cul <br />�,tf. or be liablc for �my dam���;cs iur s iailure sn to du. <br />i77 /J <br />Applirntion Nu.._/__/ _� � --� <br />Iiluc�__'_./ '-__'LnL" "_" _-'_ . . Add . "_"___'_ <br />.,,��1-�----f�-- -j �•� . <br />- - l �- � -�--- .f`�1���C.� -1 -1.c . � -�---� t= --�:---- - ------- <br />7'hew�orkln6ecxecutedby.____..____'___"_____________ _______ Plumber <br />S[alc.iun(�ap. .�� a CJ71.^,7CC:�1ii,lCll �131COf �i:13 4pU11C:'.lit <br />� ' cii�connoation crithot;t furth��r <br />.`j��_T� t� bc iiS.�cr�etP�ttRc �1YQin. 19�3 i: <br />P <br />no�Lice nny tir:e nftor Pcco*�ber lst, <br />_.._____w,�crci��.e�m�lo to i:lio pipe liue i� not, ootained ty <br />' " ::ttk:lteo '..n'�oi I?� �' <br />-- ---- U:,.n :,.c::ii� o; n L. I.D. :ror.i -=� <br />-.--- �'�'�•��� _:•ict, and in sucli ovent this npplicnnt <br />_..._.�i,in t:�ucediusf�iier agreo� to nny tlie cost o; Euch <br />--Sicew,lkwi�ah�Po'��lectiou to tiie pctrt; r:i}:in� �l�o ...:r.o. <br />/ _ _ ._�i�:- n�� ����s��i� <br />___'..Hose biL (orbuildiug Purpuses �� �� / � G• V <br />- � � J , <br />- -- <br />���s� b�� ��„�d� ; <br />. _ _ _' _"_ 13ib (or >lahle �on[aining . ._ . _''y- . _ stall . _ . . . _ . . _' <br />____./."_.NumbcrnfPenonsinfau�lv . ... . <br />_. _. v"tQumb��r of ramns in building ///+++ <br />Thepremisesaretobeusedasa ._- __ �i-_._.._..'._ . _ ' <br />� i. � /%� <br />"ihe owner o( Ihe premises is _ �._' .. - 4''__. _. . ��_ _: __l_.�'L.___'.. <br />Thcaf:entis ------�---—_"'---'---.._-�-------"'..._..--"—'-'- <br />This npplieuiun. although siqncd, shall not 6c binding upun the CitY, unlil ao <br />The Superin�ndcn[ a( ihe Nn�r Ucparlme� t. <br />, u <br />' a� SiRnecY/�%%/}!U �(--`C-D___d .�f'.' �Z Applicant <br />{ ` '�/ ' � � / <br />.-, alO-�--� _>- -i<.��������---------- <br />�'" --�,�r-:i����d��� -- <br />/ <br />� <br />