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, V ,,i � , 7 3u i � �7r <br /> �.'. D. Forin a IC00 J-I�17 G.P. • <br /> CITY (:;' EVERETT-=Water Department <br /> Appl:�catian f>or Wate/q/r <br /> All hl�nkc m��[be fill �n or crossed nut � // <br /> _ � /�l <br /> �! %� C,��' `f C/� <br /> Evcrett.--'-----�- ----�---/ _.- ---.t91 'f-- <br /> �'__'_. <br /> 'I'U 'I'HF SIJe�RIN7'EKDIiN'I'OF TIIE WA ER DEPAR'fAt:?N"I', <br /> CI7'Y OF GVF.RETT: <br /> i hereby apply fur the use o(a•ater in :�cmrtlance with tl�r rules anJ regula� <br /> tians o(The Wa[er UeP�'un:�nt, tnr purposcs and fistw�es sLued belo�v. <br /> During the tiine th:rt any of the wa[er mnins may hc taken up by rena>n of <br /> any imprnvemen[s autha�ized by Ihe Citp nf Evcre��,in or of nny strcet or allry in <br /> which they nrrv hnve beec Iaid, Ihe City will not be mquircd lu lurnish water during <br /> the pm¢ress o(�uch impn�vrments [u any cnnsumer whose snpply m�y thus be cut <br /> ni(. un c� 1in61c for any damrN�+(��r ih (ailure su to dn. <br /> ` i . <br /> Applirntinn No._._ _ � �- "'- <br /> x��xk :�:''3_�._.. i...�3 n�i�i - -- <br /> / � �J - <br /> No../�-�0- 7_ -.0 _ "�/._4�.............Strect <br /> __ . .._./__ . ___.____. __. .______""_'__"""_'__'_""___" <br /> .'_-�Phe wnrk tu beexecuted by._____...__"'_... <br /> ._._.-. _______..__' Ylumbcr <br /> Sin�ic/�(zc nf tap. �.,�/ ' <br /> ._„(.__21 1'ap tu be inscrred in Ihe main. }5� � Q p <br /> / lt' <br /> _ l.___Walerclnset . <br /> __�._.[3ath . . —..K_- <br /> .,. .T !_b .. <br /> _ .Urinal �'.��� `���. "^'�„_ . . <br /> - -- �ti�/' �� ��� <br /> ___.___Pl:�in faucct insidc /(� , �� � '.� <br /> . _______Sidewalkn•ashcr / i ��. Iili . . <br /> '__'__.Hosc 6ib oulside �� � . <br /> ________HosebibforhuildingP��rposes '. ��'" ' _ <br /> _.___._. Hose bib insidc `\ ,� f'di..' �./�:� : . <br /> ."._.'_.Bibtors�ablecuntainin I.� ' , . <br /> g._____.___stnll_�\{..` ��• �. <br /> \,�C. -_ - ::;-c': <br /> " _'Nwnber o(Pe�snns in Lunily r�,E' ' . <br /> / 1 �,L...._. .. <br /> _____v"Numbcrn(rno�nsinbuilding ��� <br /> 7'he Premises are tu be used as a_.._ ._.__-_____'_'. .__""'-"_'__ ---_'. <br /> Thenwnera�thePremi;esis _____..._."_._.__'______'___'_._"'_'___.-_'_. <br /> Theageutis .___'_. .__.._ __.._____""" '_'."_.""""""'_""___'___ <br /> This ��pplicatiun.allhnugh signed, shall no: bc binding upnn Ihc CitY, until ao <br /> cepted bY The Superimendcnt n(Ihe Nntcr Drpa)nµnL. / . <br /> /�- � <br /> Signed____.__��.�/-=_ti./.____.__f!< ______"_ApPlicant. <br /> �... ..-• � . <br /> • AtceP�ed�'_��_--I91� Ifyt:G_�.__'...__._"--'l <br /> � Fit�•�imem:,ni <br /> -, i . .. 7 . �� . <br />