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,� i�,-:+�7-�-z-SC.. r'-.-��yG-iv-�j-rTY <br />W. 4 Farm 1 I500 3-1-17 C. P. <br />CITY OF EVERETT==Water Department <br />Application for Water <br />All blanks mus[ be filled in or crosse,d a/ut <br />F.reretL_ ..'__..________"___!�/�j�.�.3__191_.._.. <br />TO "PH6 SUPIiRIVT6NDF.N7' OP'fllli NA7'ER UC•.I'ARTMEN7'. <br />CI'I'1' O� IiVtiNETT: <br />I herebr apply tor the use nf waler in accmdance with Ihe mles and regul:�� <br />16��,r nf The Naler Dapartm �nL fur puryoses and fiztures s�aicd 6clme. <br />Uurinti the timc �hal any o( thc watcr mains niay bc takrn up bY rcasnn o! <br />aop iml�ravemenls:mthorized bg We L'i�g of Everett. in nr n( �ny sirmt or alle7' in <br />�rhich they maS hare bcen laid. Ii�e City xili nnt 6e required to furnish watcr during <br />ihe prngress of eueh improvemenls l� :my corsnmer whnce �upph• maY lhus be cul <br />ntf. ur be Iiable (or :my� 7Jamages tnr ils faiiurc ao Io do. <br />Applicntinn Nn.__/__ 7 �� <br />"___"_p' q �,�/ ..�/ <br />IilntA, �./"'_ y _:.._��Lo/L.�D_��/- '__Add�_/�t-+f����i� <br />Yn.._�/.�O /�.G(�ati�__'___..Strccl <br />""____...'_ '_'_' ' ""'. '_' '__"__ ' ___"'_" <br />'__'__"_"__ <br />'I'hewnricinbceseemed6''_'�__"""-.---.--_"'.___ ..-1'Iwnber <br />Slal�e/y zc o( laP. <br />". j._'�_'Pnp ln hc in.crted in the main. /__ �.,�.E+C� <br />__Natcr claset ��/� Tr <br />'__�__I3ath (�i�. �"oS = o <br />_. y__ .Urinal <br />t <br />.'�___Plnin C�ucet inside <br />"�-'_Side n�alk �cashcr <br />. _ _.�_ _..Hose bib oulside <br />--"X"' _ Husc bib fnr building pw poces <br />..k—'..Hosc6ibimide � <br />� _ � � <br />_."_' _Ifibinrstablecmnaininy�.______.��._stniL_—___. <br />.. _ �(. ___Numbcr n( pennnv in fau�ilp <br />__._rj____Numbcro(momsinbuildinF ] - <br />'I'he premises are to bc usrd as a. _. ��/�/J.�..._. __. -_ ...... <br />'I'hcu�cnerufthcP�rcmisrsis ._.. (�/.. Lfl .fi'L1.,.._...__. <br />C�( ' _ _ _ "' ''. . <br />ThcaKent is __(a�.Q�/iC--e..�.. __. . ..._.._. .___. -_ _.__ _ <br />l'his aPPlication, althouHh signcJ. shall nnt bc 6indiug upon thc CiIY, unlil ao <br />' b)' The Superimendenl n( lhe RS�lcr 1)eparbnent. <br />Si�;ne[i�__� __�_ ___ ""7-.-_.... -__.______ �plicant <br />+:�—%�.___ <br />.�— <br />.pled. -... �"__.IJI 11y___"._-_...- -"___' '__ <br />.__�-su.�rim.,n�e. <br />il, <br />