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. F'n���'t�,°7-'1 �-v � fN <br />, ` <br />R'.D.Fcrm1 IScO 'I]C.P. <br />CfTV OF EVERETT==Water Department <br />Applicatior, for Water <br />All blanks must bc filied in or croCsed ml <br />�:,«..��. �9- j---- -- - - ���° <br />'1'(: TIIE SUPIiRINl'ENUIiN"1' OP "1'llli NA'PIiR DHPARTA1IiN1'. <br />CI'fY OP Ii7BRGl'T: <br />I hereby app15' (��r the use o( w�.�trr in :�cc��rdance ivith the rules nnd regula� <br />ti ;ns o[ "Che Water Uzpartm �nt. (ur purpascs and Iixiures :uucd Lelmi�. <br />Uurinp the time ihal :mp ui the wnter mains may br taken up h�� rcason of <br />any improvements authorivcJ br Ihr Citc o( Iiccrrlt. in nr ul any etreet �rt allep in <br />u�hich Uir: nrq• have heen laid. Ilm City will uot be required w i•�irnVsh �caler durin�! <br />dte prn�;ress o( such improrrmonlv tn auy consmner �ehuae supp:y mar tlms Le cul <br />n;i, or 6c Ii:�Wc for an`� cla�rit♦,rv (Srr its (ailure so to do. <br />� 7// <br />Applirntion 10.'� v'� � '_""' q <br />Iilnck ..--'--- -- ------LoL'"� `�---✓[-�--AdJ.----- <br />__. <br />\u. (�..--�'r����_��_u�\_..Strect <br />.__..._____________ _ ____'__________..___._..______________"'_______. <br />'I'hc o�arA lo bc rzcc��lyd b}' '_-.'__'___'__ '__ ___'._"____'_" .._ PIUlnbur <br />Stale s e of tap. <br />.. _��y'Pap b� bc inscrtcd in die main. <br />_---l.---lVater duset <br />._._L-_I3;�lh <br />_. _ -- _ .Urinal <br />_ .. _ _ _ _ . _ _ Pl:�in faucet insiJc <br />. . _ _ _ _ _ _ Side �calk �rashcr <br />.__._-._Iloccbiboulsidc . <br />'___'_- _'Ilosc bib (nr buildin� Purpa.es <br />' _ _ _ Hosc bib insidc. <br />.____ ___IlibforstablccuntaininH.___._.._._ <br />_ _ _ _. . ___Num6cr n( persuns in (amil}. <br />.. __.�_ Nu mbm� o! romns in 6uilciing <br />%f� � C-i � � <br />The Premises .-.re to Le used as a______________"""_...___._"""'_' <br />The mvner u(lhe premisrs is _____.___._' ......... .........'_'_________'__.._. <br />"fhc ap••nl is .____._..__. _____'._.____ '-_.._ _ <br />._"'___.._______"__ <br />This applicrtiaii.:ilthnu�;h signed, shall nnt bc 6indin�; upun thc CitY, until ac- <br />crptcd by Th�• Superintenden� of the 11'nte .. epartmcnt. <br />Signed__ _' .C%.__ _G!�+�_`.__." A ilicant <br />/ ----------- <br />r� / <br />ii ,_. . - -,<_ <br />�\ccepted.---.. -----„^---_14I--=�' HY�:.:_rY�� <br />�"'_____'sn;�rimrn:�n� -_ <br />f�.�t� � �_� 9�iv-�-o� :�, <br />