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� <br />w. n. r��„ . i sne .;-i- i� c. r. <br />GITY OF EVERETT==�Vater Departmeni <br />A_pplication for Water <br />All hl:,nks must ¢c tJlcd in or c/y/f�'sed out <br />Ecerclt.... _����-�C.=--."-_'. __'__'_.__191'_._' <br />TO THL•' SUPIiRINI'I:Nll1iN'f OP'fHli NATER DEPART�tENT, <br />CI'1'Y OP E`JF,RE7'T' <br />I hereby nppl)' (or thc use nf a•alcr in :�aordnncc with the rulcs and regula� <br />tium �d'Phe Nater DzP�runrne, fnr purposes and fixlures sialed bclox•. <br />UurinN Uie lime thnt any uf �he water mains ma)' be Inken up by rcasan ot <br />:mv imPrm•ements :mthoriaeJ hc the Ciq� i�f li�•crett. in ur o( anp slrect or alley in <br />w�'iich lheY ����)' hnvc licen laid. Ihe City will no[ bc requircd tn (urmsh x�atcr during <br />the Pm�;ress n( such improrements to nny cnnsumrr x�hnse supply ma>' thus be eut <br />�d(. or bc liablc for any dnnug� for its fmlurc so to do. <br />s 3 <br />e\nnlindion Nu.----'�-.`--✓-..--"- <br />�_ /'� Add__. _.._'.__' -_-___ <br />Eilockp ��^�-y__'_ .; - Lnt____'_.' " . <br />Nu.. ✓"!.. J- - �������'_'.. SUccl <br />" _' <br />��u��.�.--- ��'�:`:':!,_.._.__ ---- <br />_._. ----- -- - ---- -- - - <br />'I'hc work to be esecutrd 6y.. ' - _ "' _' _ _ _ "' _ . - _ "' . _. _ - - _ _ _ Ylumber <br />Stat/eF ize n` t:.p. /�. Q G <br />�! .�'l__'I'�p tn be inscrtcJ in thc main. -� _— <br />___/ _____Wmer clnset <br />-_.�_'_.13ath � . <br />-'_.'___ .Urinal ' � <br />__'__._Plnin fauccl insidc .. .� . .� . <br />' . '_'_Sidc �calk e�ashcr ��`� �� � �.,� (i . <br />_Ilnsebiboutsidc I'� ... <br />'_"_'._Ilosehibforbuildingpurpos'es •. . .. <br />.____'___Ilnscbibinside . ' =.... _��. . <br />_.'__'_'J3ibforstahlecuntaiainF_.._.__-s6i11_''..--.._. � <br />___ _.__Numhcrofpersunsin(amil>' � ?�.�-. t <br />__ c�_"Numbcr nf rooms in buildinF �- <br />"1'hePremiscsaretnbcusedasa___..-.___..._..._'_..__'_____'____ ____' <br />'I'he nwne� n( lhe premices is ."_'____'__ __-_""__'_"__"_""_'_"- <br />ThcaFentis ._""_' "_ __'_.'_"_""_'_"'_'_' <br />'Phis appP �tiu� , allhanph signed, shall nut bc binding upnn thc City. until ao <br />cePled by The hiperirlrr.'enl uf �I 1Vnlef /ep:�rtment. <br />Sil;ucd _._'__ �_`___. __c.l.=�__. j ._._____.ApPlican� <br />.a �.�__ 9Y' f —R `��> /_y(- <br />- --- -- <br />Attontee`.� '.-�.'_"._".1 - �•�_ .. . -_ 5u;�rimrn.ie�,: <br />� .. �._{ ','V�, " :_ . <br />