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� , F'.�'� y-��_ , -r3t <br /> W. D. Fcrm a 150� �-1-1]C.P. � <br /> CITY OF EVERC'TT==W,�ter Department <br /> Applicati�n for Water <br /> Ail blanks mus[ bc fillc n or crnssed out , . <br /> Everetl�_._'_._ "O <br /> ---y�l--- --------��� - <br /> 'P�i 7'IiF,SUPERINTGNPEN"1'OF'1'HG �yM�Eg UEPARThlGNT, _ <br /> l'1'Cl' UF li`JF.RBI'T: <br /> 1 herehy�ppl y (nr the use of �vater in nccnrdance«•i[h lhe rules and regida� <br /> ti:ri;uf'Che \Yater Depanm�nt. fur purpnse; and fixtures sla[ed belon•. <br /> Uuring Ihe timc Ihat;un�nf t1i•• wan•r mains may be taken uu by mason of <br /> I any impruvcments authorizcd bp tne City ut liremtt.in nr of auy strcet or allcy in <br /> a�hich thry mav have been laid. the City will nol be requireA to furnish water <luring <br /> die progre;s o(such imprnvemen[s tn anr consurorr �chnse Sp�1�lIV t118p II1p5 IJL`Cll� <br /> o(i,ar bc liablc fur anp J:�:i�s r its failivc so lu dn. <br /> ApplicnlinnNo" "_ <br /> i._.. _'___'._'__ _ <br /> l3lack _�_ . ._.1'ot -- � <br /> . __-_ Add__.__ <br /> '__"". <br /> y . ---- <br /> � .,>. - `lo_ � <br /> __ _. ____ __"" .Strcet <br /> �,_ ..""_______________ _ __________. <br /> �� � The wurk to be r�ecuted bY_.___._'___"__ . ______'______'___ __ PlumGer <br /> � Statep iT.c nt tap. <br /> �/ a�� 02 o S�� <br /> --/.�_1'ap to be inxrted in U�c main. <br /> --._'�___Wa�cr cluset f� ��{,� � <br /> ___._'__..Aath � OG � ('� V <br /> ---- ---- -Urinal <br /> -. _______Plain (aucct inside 1 ��:'.. �.�:: <br /> ..�,;. <br /> , ..��' �.r e: <br /> . ..__'___Side�calA �cnsher �� , -�� <br /> ��-3�''=�1 1 'i � ,. t•�� <br /> - .-"'_'_Ho�c Libnulsidc . ,� :� �� � �1 <br /> ��;�", � , � , �� <br /> .______.__Ilosc bib for building purpn;cs �� ,!� . . � <br /> ( I� <br /> .._______Jiosc bib inside 1 ' .I� <br /> .___".",Bibfarstablecon[aininq .._.___.._.st:JL.�� ��� ' .:' . <br /> _y'_ ' <br /> _._' q __Nmnberof persons in (amily 'p..� ',�, ���f' l,•���;, <br /> ._'_4.!"Number n(mmn.in Uuilding r'�' �;�`..�'"` <br /> \ ::� ..� .., . <br /> '1'he prcmises are to bc used as a___. .._"_____'__"..' '���— �f <br /> "'_.'.__.___ <br /> '_'_ <br /> "1'hc o«�ncr n(tlte prrtnises is ""' <br /> .___'__. .. ..___._'___. _._'__..___. <br /> ThcaRenlis "_'.__._ ._. <br /> _____.___.._._ '_ _ ._.'_._._____'._.._._.____ <br /> T!iis application, althouFh si�ned, shall nm be binding upunn Ihe CiIY, wuil ac� <br /> ce,teJ by 7'he Superinlcndent otthe �Vnter Ucpar icnE�� <br /> i //�/���� � q <br /> �. . Signe�'_'__i�jE.(/-=t'-�-i�_ .�C.�Y.C/K __Applicnn� <br /> � .�ccl,trd .�.GJ..��-- L41�--� 13•��`.�._� ./ <br /> / -- - _ <br /> � ` 1"__"_'__""'"'_"__-_ <br /> � / � 9uperlmendrni <br /> L_'C,L.t„`� �) _ �{ _. �'p ' � J <br /> O <br />