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C�,_�_t_� �i-.. <br />��zSd i�-,�z-zE 1� � w' _ - <br />1Y. D. F'orm h1600—g,p.Co.—G-:6�2� <br />City of Everett�Water Dep�.rtment <br />APPLICATION FOR WATER <br />All blanks must Lc tilled in or crossed auL <br />!' <br />��•�«tc� ...................._.....J.. y... �.........................is2.�. <br />1'U TII� SUPERINTE:IllE\CITY OF EVF.ItETT;DF.PART91liNT: <br />I liereby �PD�Y for thc usu of e'aLcr in nccordancc ��•ilh thc ndes nnd Tegv- <br />Intions of the `��'ntcr DcPnttment, far pmpoecs nnd fictm�es stated bclow. <br />Durin6 1he time that nny af lhe watcr mnins mny be Lnken up bY renson <br />of any improvements avthori�ed by lhe City ot F.ccrett, in ar of nny strcet or <br />alley in w•hich 0 ny may hace been lnid, the Uty will noL 6e required to furnish <br />anter during the ��rogress of such improccments to nnp consumer whose supply <br />� ��...... y.^_.'1.. $.I..... Add! - so to do. <br />PP " <br />BI ckl�us be evt ofi,J l�e Cl/�ao le.[..r...m d�mn6es for �ls fni ure........._..:._.... ... <br />A licntion No........C�./ <br />No_......�...�J. ......v.'.c..�....../tci.=. L{- �........_...... ....3treet <br />, ...` . r..... <br />_.___. .... � <br />.... .. _ ...... . .. ... .... . . . <br />The work to be executed b � �- �����" p�� �^ <br />Y:'< �` ;3 �y--�,_ � ,�LC I. „ <br />Stnte sizc of tnp. ] C <br />- / < t; �."` ,,21 <br />�� TnP to bc inscrtcd in lhc n�fn�" /�� �,j �>> <br />�...... { 4 I � , <br />..,� Natcr closeL � ' <br />SE� `� ' (1^ i% <br />� II _ � ,> > 1__3 <br />................ nth . - ... <br />..�d Or z'v':,��_I I;' ': <br />_ , .,.. � l . _, � <br />................Urmal . :.. <br />....�......_Plnin fnucct in�idc <br />.._......._...Side wnik �vnshcr <br />._...�.......]Iosc bib outsidc <br />....._.........Hose Uib tor building Purpnses <br />................Hose 6ib insidc <br />................Bib for stnUle contninin6....................stu11.................... <br />....... .......Numbcr of Persons in tim�ily <br />�......Kumber of raoms in bmlding 1 <br />r premises nre to be used ns e... J � ------ �-�- "` <br />_�._�C..4(. e.'.:.._t <br />���ncr of the premis � is...... ---�-� <br />�..'..'"' ,- <br />. c �..:.., ..................................... <br />gent �s ............... . ..ti.:�............... .. <br />`, . �... �'. ..... <br />�* �il.caliin, al�u h signcd, shnll not be 6inding npon thc Cily, until <br />�: : upetinten enC of th Nntc�j De rtment. <br />. \ �'l.���` <br />—.r ,. i........_.. � ..... ........................_......AP licant <br />. .,.... . ... <br />/ � /' <br />._...:..�...192...... _. B9._1.��lf�...-. .. �[. �... : ... ..... <br />�f" � %3- ,� J. _ _Safiet nlendent / <br />/ <br />[ a: <br />