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.. r <br />. .�v: G'��'. <br />1��'. D. Fair { I500 ,l.!- V G. P. . . �-- <br />C11'Y OF EVERETT==Water Departme�it <br />Applicatiun�f,o�:�Water <br />:\II blanks must br llled i�ibr crossed nut <br />. . Ererett. - .. ._-_--------S�z-�'---._19R-Y--.. <br />'PO'CI1E SUPIiRIN'PL'NUIiN'I' OF 7'HE WATER DEYARTMIiN1'. <br />CITY OF EVEHGTT: <br />1 hereby aPPly fnr Ihe use of a•ater in acrordanee �cith the rules and regula� <br />ti m; u( The \Va[er Departm •n[. (nr P��rP�»�, :�nd fizl�ns st��cecl below. <br />Dw�ing the [ima that :m)' r.i thi� ���ntcr mains ro:q• be taken up by reasnn �f <br />anc imprncements authorixed hy tiie City u( Ece;ett. in nr u( an)' sircet ur nllep in <br />�^hich Ihrp ma5' have 6een IaiJ. the City e�ill not bc re4uired to livnish a'ater dw'ing <br />�hr prutiress n( such impruvemenls tu any runsumer whn�e suPPly may thus br cut <br />��i(, nr bc liablc tor am•� 7damatirs fLur its Liilure so tu da. <br />AppliCnHun Nn.""/_ �i'�_`�_"""' <br />Rl�xk._.__ ` _Lut.____.__y_�.._._Add--._._-_'...-....-- <br />3 G10_ _-I _/�j �o-c�1�...c�sG�-..-- s««� <br />��,. -- <br />---� -- ---- <br />.---- - -- - ------ <br />_--- ------, ---- <br />, - <br />"1'hc work to b� escwtcd 6y. ��.-Bs�G�'_. _'-___-'-_' I lumbcr <br />Slalc izc o( Cip. <br />/ <br />.�_�'Pap lo be inscrtcd in thc main. <br />__.'__l.__1Vatcrclosct / # <br />._ .,____Hath � „ � �_., <br />2 �S <br />— . .Orinal <br />._ " __Plain fnucct insidc <br />. __' ___Sidewalkwnshcr <br />"_' l' . I Iu.r bib outsidc <br />/ <br />'_' ___ I lose bib (nr building Purpa.r� 1_... <br />_____ ._Flnscl,ibinsiJc . <br />� __Bib(nrstablccontaininF.-_.- _stall._. _ --- <br />' ^ __Num6cr of Prrs��ns in familq <br />�_ c.G_ _Nwnbcr uf mnms in building <br />l�hePremisesaretnbeusedasa.. �--e<<--,-. ___...-_._' .__._' <br />'fhe u���ner u( the pranises is _"���" ��s... i. - _. ----_ . . -_ <br />ThcaHcntis___ _ .__._"'__.._._ .__._.___..__._'___ ____________ <br />'1'his :�pPliratinn. :JthouRh si�;ned, shnll vut bc bir.!ling upan !hc liry, until ao <br />r��pled b)' The SuV�'rintenJenl �d the \\'ntcr Ueparunent. <br />Sillned�c.._:'7_-lt-,`Vv."'�'_"_'_�..___ �:Ap��lirar/ <br />—��} / / <br />/ /. <br />ArcrptrJ_i�.Z2_-��(1� B)'�;"� � G �:����-._ . <br />Sda Lnencen <br />� .� �.. - <br />