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, <br /> i <br /> I <br /> , <br /> i <br /> a <br /> � <br /> ; <br /> . �N;�y �-7! • <br /> .,. ��, f �. <br /> W. D. Fonn � 1500 3-1-17 G.R I <br /> CITY OF EVCRETT==Water Department <br /> Application for Water � <br /> :VI bianks must 6c llled in or crosed nut <br /> � I <br /> L•'vcret[�------ -�RlL / r -------lst�--- I <br /> TO TI1E SUPIiRIN"PGNUIiN'C O�Tllfi R'ATIiR UL'PAR7'\IGN"1', <br /> CITI' OF E7GRB7'T: <br /> 1 hereby;ippll' fur the us^o(water in :icmrdance with thc rules and regula� � <br /> :inn;n("Phc Wa[cr Dzpartnr_nt. fnr purpnses anJ fistures stated bclmv. <br /> Durin�; tlte tinte �hat anp of the�vater mains may be tr:ken up hy reason of <br /> ❑ny iumrovements au[horized bc tlic Ci�y of Iiverett.in or o( auy strcet or alle)' in <br /> ��•hich tiieY m�.�l' hnve bcen laid, thr City�eill unt 6c r�quired to furnish woter during . <br /> thc proFress o(such improvrmrnts tu any consiuncr a:io�c supply 1118)' lllll5 VL'Cpl <br /> u(f, nr ba liahlc!or any d;�t»�es for 'ta L�ilure so to do. <br /> /„ �. <br /> APplirntion No._"'U/__. '_ _ __'_" . <br /> s4o .3z r1,�ers � — <br /> � <br /> �ti�ct: ---- --� �.�,� ------------------,�aa----- ---�---^- � - <br /> Nn.-'_-.Z4.j�. .MR/_cE .'--'-.Strcet <br /> �--�-----�------- � ------------�---'-------------'---------"'---- <br /> "1'hc�eork tn be rsccutcd by._____'__"""_ '________________'..____ Plumbcrr . <br /> Slatc sizc at tap. � <br /> � ° <br /> ._�____'_Pap In bc inserted in thc main. <br /> __.I__.__.Water dose[ <br /> _ � ;._6ath 1�- �/,TJ <br /> __� . .Urinal /�� <br /> _ .F�__Plain (aucet insidc ��l�' , <br /> .✓._._tiide�valk wasLcr . . . � <br /> -. � ._Ilnsc Gib aulsidc . . - <br /> / . ' ���:.. . <br /> _ ..Ilo�c bi6 fur buildin�;purpnses � '. <br /> i� <br /> . �� ._Ilosc bib inside �� - 1 ' (�.�� " <br /> ti �d 4�� <br /> ____-.'_Numbcro('rnoms`uinbuildii, '.�___.slali..__. '___ � <br /> g ____ <br /> --. ._.Numbcr n(persuns in tatnily � � � `� � . <br /> �--- � ��9j� � � <br /> __ <br /> 'Che premises are tu be used as a-.__. ___._""____' !:{_"y�..• �""' <br /> '___.. <br /> ' .."•a ._ .r��..,, :a <br /> l'heo���nerufthepremisesis _____.______'._�_' _ ""':"'__"__"_.'__ <br /> "I'hc aHcnt is .___._.___..._ .._.'_"_"'_" '___ �7.=.__. � � . ' � � ���.,� � ' <br /> � This :�pplicalion.:Jthou�� signrd,shall uot bc hinJiug upon thc City, until ao . �`�;i�i. <br /> '•v 1'he Superimend i of Ihe Wnter •pmli ' . . . �� i ', <br /> .. a.i � <br /> Si&nrd ----"----"'---�-------'----��-"-------�PPI int <br /> A � [� <br /> "_ <br /> pted__"�. _��'_' "1�.{� By� � <br /> ' / // �' Superlmendenl <br /> �t/lG��(�i� T^ y._./� /J. .w�. <br /> � , .�/,�i, Z <br /> . —_— -- _ � <br />