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}' <br />F� //�i�`� C� �!'� . , � . �.+/�.7-� - . �. <br />, . . / <br />W. J. Fcrm ♦ I500 J-1-I l C. P. <br />CITY OF EVERE7'T==Water Department <br />Application for W�r <br />� AII blanks must be filleJ ia er crossed qu � , <br />EvcretL- ��/ •';� _ ----"----191� �/ i <br />� ______""._"_ <br />TO THE SUPF.RWTENUEN'1' OP THG�S ATER UF.PARTTIGNT, <br />CI"1'Y dh` EYERETT: <br />I hrreby apply tur Ihe use af wnter in nccordance wi0� �he rules and regula- <br />tioiu u( Thc \Vater Dapartm mt, fnr pu"poses ;md fiswres stated hclna. <br />Uurinq Ihc lime �hat :iny o( th�• watcr mains may he taken up by reason ot <br />anY improvemenU authurized L�� the City of I?vrrett, in or o( nny street or alley iu <br />w�hich tlie3' �»�5' :�-vn c�en laid. lhe Cily wi:i not bo required in larnish x�a[er during <br />dm Umgress nf Yucn imProveinentx tn rny cunsum�.r e4�nse suDPIV map lhus be cut <br />off. or bc liablc [ur anY damagc, fur �:v failur^ •�o to du. <br />aonr�au��„ x�>.---� `r`� c� <br />------- <br />/ _ � � ^J <br />Rlnck .._I.�(cL/" .._ ��' t_�_."/.�G. '_"'f_ `� � Add__.__.. __"_-____ <br />Vo._' /'O O' U '_' / r`^-«�(_/\'_ .. Streel <br />""'_' _"_"'.___"' ""'_'__""_"""" '_"""""_"""""__"""_' <br />The �eork ta be executed hp _ . _ _ _ _ _ _""_ _" ' ..' _ _ _ _ . _ _ _ _ _ _ _ _' _ _ _ _ Piumber <br />Statr s c oi tnp. ��� . ��: �, l! (� <br />._��'Z_Tap ln be insrrted in the main. i r <br />. . _.__1Vntercloset � � �� <br />.______Bath �� <br />___..._ .Urinal <br />. ..__--_Plain faurcl inside <br />' ___'"_Sidewalk�ansher <br />. _._ �_..Ifuse bib nutside ' � <br />_ _ _"' _ Hosc bib !or building purpu.c� <br />. _ _ _ _ _ _ _ Hosc hib insidc <br />_.____.'_[3ihtarstahlecontaininp___..____.sta1L... _(.�� <br />_..__z-__.Nmnberatpersmuintnmily � � <br />___.11__.Number n( rnums in building�/ i� . <br />The premisrs arc lo be used as a__'J. /C/�'_ - /._ . <br />The o�cner of the Prcmises is "" F_ ✓ • '_� ' � -L��(^ � .... <br />___"__' '__"_____'_ __ __ <br />TheaHent is . ___'-__...__ __."'_'___ __ _ __________ ___'__. _.________" <br />This aPPiir.uion.:�lthnugh siKncd, sLall no� bc binding apnn thc Cit)', until ac <br />T;ie Superinlendcn ��( ILe Nn cr DeparUnent. <br />v7�h `1 <br />Signed ___ ' (_'_ . :fi(/j,7�3�v. .. .".'___."ApPli�:an� <br />i/��,..�f. Q� . <br />, B . ' '_ ___"_'..'___"_"___ <br />.. (/�� y ' s�ir•rmi.�:w <br />