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�"/Yt�,' �_ 3 �-� 3� i ,��o �.- -: : - ._.�;� <br /> N'. D. Fonn a isno a-i-t�c.v. <br /> CITY OF EVCRETT=-Water Department <br /> Applicatior� for Wa�e� <br /> All blanks must bc filled in or<ros;ed uut <br /> Gaerett.__ "__ __'�/_7__"_ ___.19�3'- <br /> 1'O TIi13 SUPERINT6NUIiNT OF'CIIE\VA1'GR DEi'ARThIIiN'C. . <br /> l'Il'1' OF Ii7tiRIiTT: <br /> 1 herchy applY (��r the u�c of watcr in aceordanm widi thc rules and rrgula- <br /> tiu,i;ut'Chc 1Vatcr Il:parlm�nt. (or purposes aud fistures stated below. <br /> Uurin�;lhc timc lhat:my ot the�raicr mains Otay hc taken up by re�smi of <br /> :mp impracc!ncnts auUwriud bp lhc Citp nf L�crctl.in or nf nny street �rt :Jlcy in <br /> which thcy m;�v have becn IaiJ. lhe City �vill nnt 6e requirrJ tu furnish a•ater durinp <br /> $ the pro�iress u�:such iinpro��emenls to any consmner �vhose supply may thus be cut <br /> I uit, nr be liabl�(ur anv—d7ama�;cs tnr its iailure so to iio. <br /> I AppliCalian No._.._(__�.���..__ <br /> Hluck _/_'.��7'_ _"_�L'_'_�I /�—// Add'_'__ __"_'___. <br /> ____""' <br /> � \�.i.__!-�l�_ �_ ___"—e"`� """'..Slrect <br /> � . ..._ ..-_.-_ ..--_._' . ______"_____'_'_____""""'____'_"_""'__."'___ <br /> I7'hewurktobecxecutedb)'.__.__._ ___ '__'_____'_ PlumLer <br /> I sc.v� ��•yl�,,,. <br /> I . I�p tu be inscrted in tlie main. 7 . <br /> ��'" . <br /> � ._\l'atcrclo�et ",/S/ _ / (' G �' <br /> --- -'- --Rath U - <br /> I �"__ .Urin:J <br /> 1 ___"�'_-Plain (aucct insidc <br /> _. ."�"_Sidc walk�cashcr ' . <br /> � _. <br /> _"_l"._Hasebibuutvde �, . . . <br /> _.__�'____Iluschi6forLuildingpunmscs �..� - . <br /> __k_....Hnsc bib insidc . <br /> _'�'____I3ibfarstaUlecontaininK-_�._stalL..�__' � <br /> -_�- __:lumbcrof persnns in (::uiily <br /> S___Nwnber a( ronms in huilding/� � <br /> The premises �re to be used ns a_-�(y^' /' ..___' _._". <br /> _ __ <br /> ._.._ . <br /> "ChcowncrufihePrcmiscsis �..��_ c. + ���-v�A,C.C.4-________._ <br /> 'Chc agcnt is..'__'__"_. "'. "__'-'_'_"'_ '"_"._""_"_"_'___"" <br /> This apPlieatiun, althwigh signed, shall nut bc binding upon Ilic City, until ac <br /> 'eptc<I 6y Thc Superimcnden[��te qWntcr Dcp�rlment. <br /> Signed :'-..?.K./--��'!""'-"`��.PJL�.._Applicant <br /> Acccptcd.�/f.J _ .?1SiL By/_ !/�_._____'_..__ ' <br /> , ` ' < � v��• �.i�.rin�rniom '. <br /> T-�- <br />