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N'. D. Fcrm a ILcO ]-I-1]C.f'. M�. . . <br /> CtTY OF EVERETT==Water Department <br /> Application for Water <br /> :111 blanks must br filled in or crncsed uut <br /> F:rerelt. ._. ..�z/"-2e-3"--191 0 ._.. <br /> 'I'O "PHF,SUPF.RIN7'ENUIiN"I'OI�TH[i\VATER UEPARTn1EN9'. <br /> l'I9'1'OF GVIiREI'T: <br /> 1 hercUy aPp1Y (��r the use o(�rater in accorJance x•ilh ihe rules:md reHula� <br /> �i�m;o(7'he ��:��cr Uap:atiu�nl, for purpases and fixtares stated beluw. <br /> Iluring the timc that anp o(thc water mains may be taken up by rea�nn o( <br /> :my improvemenls au[horizeA by �hc Ciq'of Ercrri�,in ur of any street ar allep in <br /> nhich Ihey m:p� have becn I:�iJ, thc City u�ill no[bc reyuired lo G msh e'ater during <br /> the pragress o[euch improvements to any consumrr whuse su ' may thus be art <br /> ��ff,or be liable fnr any da7mages fur i�s failure sc lo dn. <br /> rlPplirntion Nn..��L�'_�'_'__"n-' <br /> BLmk .____'_.��' .__ Lot_� d___ . _.. Add ___ .. .___._.-.-- <br /> x,�. _._�oo � _._V<<e�e._�-_p�-�--f-..s�.���� <br /> - --- ----- - - - - ------------- -- - - <br /> ' - <br /> 'I'he e�ork to be execulyd 1���_ � • ' .'_-_.__ PlumUcr <br /> __�� '�"_`"'"' G�rvLa"'_ <br /> ti���e�ize u(tap. <br /> . -'�—- <br /> �_�/_-.__'1 ap�n 6c inseded in�he mam. .' V L-i' <br /> ._�'___.1Vater closet ��7� � � t <br /> ^� \ . <br /> .�_' __-13ath �..` � \\\\\\ � <br /> _ _Urimd {�/'� � '����� . . <br /> . ___.._Yl:�in faucet inside I�U \� /� 3 i . � <br /> .. ____Sidewalk �casM1er Y� E� �� . � � <br /> < <br /> � Q � �1)�i <br /> __... _..Hosebihnutsidc � \. p+•-•� .`:): <br /> t. . ":"/ <br /> _. _.Ilosc bib forbuilding purpuscs . � - -' <br /> .__ . . _,. .. <br /> _"_"__Hos<bihinside ..� • <br /> _'_""__RibforstablecuntnininA . _ s�:ill . <br /> "_ .-'_NumLcrof persnns in Gunily <br /> _�''___Numbcr of ranms in buildin�: <br /> 'llic premises are ln bc uned ns a_ . . . . <br /> Themenernfthepremisrsis .__'. . ___. . _ . _ . . ._. . .. <br /> TheaHentis .'_ ._..' . _ _..'__"""" " _'_'_""__. ...___ <br /> 'I'his applicalion.although siK���'�I, shall nul 6o hinding upnn ihc CilS'. un�il ao <br /> rrptcd by Thc Superintendenl uf the Nnler Ucpnrlment. <br /> /7�� .,C:�� <br /> Siuned .-- -- -_`_ - --- -�rnli��ant <br /> �, <br /> :.,. -� /-��-���191 Hc c_ � _\_. ___ ,. <br /> ' f r..,i . i � <br />