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ri-NI'j <br />V'%:-}�;" . - <br />` ` . . �n-Y�n_l-�'- J - � � � '- � �. / <br />lV. U. 4brm d-1:�Un-gp.Co.-6�T6-21 <br />City of Everett--�Water Depai�tinent <br />\_•1 <br />APPT ICA�'I>ON FOR WATEK <br />All bl:mks must he tilicd in or crossed out <br />Evcrelt�............�/�-Y_..'._....1..'..........._ _..........1�J4...... <br />TO TIIC SGPERINTTNDF,NT OF TIIE P�ATrR D}:PAIiTilfSNP: <br />CITY OF F.VBI21'sTT: <br />I hereLy npply tor the use uf �cnter in accordance �cith the rules nnd regu- <br />I¢tions ot lhe R'ater llepartment, for pmpnses end fis!ures stnled brlo�v, <br />During thc timc that any of the watcr tnnins mnp hc lnken up Uy re�so» <br />uC any in:provements avUiorized Ly the Citp o( I;crrett, in or of nny streeL or <br />alleY in �chirh �hcy nmy hncc becn Inid, t.hc City will imt Uc rcquircd to fm�niah <br />wnter durinq the progrevu nf such iml'rovements to miy enn wner «�lrose suppl�• <br />may thus bc cut af., or Uc liabl • iur :;uy dmungcs tor its f:�ilure su to do. <br />A�;plicntion Nu.....0 ��...,U-..�........_.... <br />lllock...... ... � . : . <br />-, o '. _ <br />.. . ... ._ ..._.. <br />G .oc . -. . �, ..._. naa. . __ � <br />_ . ..._...... <br />rro.. � v `%... �-c-t-�t-�-'-�-s�l._s�T��c <br />__. . __._.... <br />_. <br />_. <br />Thc ��ork lo be ceccuted by. ..�. I'IuwUcr <br />) � _ _.... <br />£tnt ��zc oC tnp. �„f /�c� � � � J �• ,. <br />�. �—' d, —� <br />.. .F-......Tnp to bc inscrtrd in lhc main. <br />_.._�........�Pntcr claset <br />...�._......BaNi <br />� <br />. ..............Uri n nl <br />...2._.......Plnin fnur�; inside <br />.aC..___.Sidc �snik u•ashrr <br />_1........_Hosc biU outsidu - . <br />� <br />. .-.:........Iiose bib for 6uilding purpasev �, <br />_�.........Iiose bib inside � <br />...L.:........Bib for stnble cuntaining........_.........stnll.......... <br />L- <br />...._...A'»mbcr of persons in f;miily <br />.�i........NumLer of rooms in UvilJing / . <br />The premises are tu bc used nv a ..,.. �,L/,�,rC L�j�l� ('_�_. <br />Tl�e on•ner ot the prcr.iises is. L� .7� _ � ��� �"����� ���� <br />`..cY G!l C�s«/a1aOf<cl._. . . _ _ . _ _... <br />The ngcnt is..........._.......... <br />._ ......................__.. . <br />CTI�( �'npplication, plthouqh aiqned, shnll not be binding upon tUe City, until <br />1 .} thc SuperTtendc �t ot the 1i*nter Depnrtm�nQt. <br />Signed�'11 L�L:;�. • �:2s u . 4! .�iCr� _yt.J�,, 'cant <br />�j�� ,/�/ . <br />.. i .1��%.-_2�5 19�..... By."�'" � I'"""'� - -r <br />r�. - Superintendent� <br />