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�v <br /> - _ .— — �'�.y,r'Y <br /> w. o. For� � isoo a.i-i�c.P. • y Fir. <br /> CITY OF EVERETT==Water Department <br /> Application for VPater <br /> Ail blanks must be filled in or crosscd uut <br /> Bvcretl.._"_'_'__ 'S/72'�' '" '_'_.191 f�_'_ � <br /> TO THI?SUPIiRINTENUliN7'OF TIIE WATCR UGPARTMENI'. <br /> CITY OF GVERETT: <br /> 1 hereby apply [ar the use u(a�nter iu accnrtlan.e with ihe ndes and reRula� <br /> ti�ins of The 1Vater Uepartm�nt. (nr purposes and fictures stated bcloa�. <br /> Durin.the timc ihat �my n(the w•ater mains may be taken up by reason o( <br /> anv imprnvementc nuUmriud 6y the City o(F rere�6 in or n( any stree; or alley in <br /> which[hey may have becn inid, the Ciry• wiil not be required ro furnish aatcr during <br /> the progress�d such impravemeius to:my conswner whasr supply may thus be cut <br /> uf(. :�r bc Iinh�.c tor any da(m�a!�J;cs for ils (ailure sa �u du. <br /> APPlitalionNn.'__"'G'!Z_Z_'-' `-�� � I^I- � v {.. <br /> Rlock __.2�.�- ----_Lot/_�_�/--p`2�-_�'"--'--AdJ.i.C11J..1"�1.�/�-6 . <br /> Ao.--- ---_1 �.0._�.__.ISJIJ...t�IQ.aJLi__Strcet 4 <br /> . _. _.-__"_ ' __'_____.__'___ ___'__'_.___.___-__'_____."____. <br /> The wnrk tu be ezecuted by.-...__ <br /> __ p/JL�—Q��-.___.__' Plumber <br /> Stal•sizr u(tap. p_ . <br /> '��"_'Tnp ta be inserled in lhe mTin. 4� ' <br /> ___.�'___.W atcr clnset . .`� <br /> .—:.-'..- '- _. �' .� 1 <br /> "_�'___6alh .�e �.�. . . ': <br /> �, �..,� <br /> "_ '_ .Urinal . ' � "1, �� \ � �\� � <br /> ___ __]'Inintaucetinsidc �::((�,,�//((�� �.,`,1\1� �`�� <br /> ..___'__tiidcanikwasher ���y `�.���... ���•— q � <br /> N ! � <br /> .._Hnsc bib outside t �' ':�-� `q1� I <br /> '� r ; r <br /> .__"'___Husc bi6 for 6uilding pwpoies �� ��•�� � �"/ <br /> . prc —[�r�.,�,^ � <br /> __.__'__.Ho�c uib insiJe 'C \ / ,%.-,�:� <br /> .__'__._'_UibforstablccontaininK.----_-_`i:�i+t�,�t^`4�=j'"');�.:i <br /> ��El:k_s7._�, <br /> -'..Num6crnf persnns in (ami13' '"��� <br /> __�p___Num6er o(rnnmz in buildin{;� 1 <br /> Thc premises are lo be used as a'_,/�"'I�C1_R� J1��J..4.tAJ�... _ _. <br /> The o�vner of[he premims is __._1.\_,___[`�-411.J..41J4_.(3._�,.�.._____ <br /> Theaqent is.."_... .__......__'__________ _____'_._'__.._"".__________. <br /> '1'his applica�inn, :dlhouph siqncd.shail not hc binding upun thc City. m+lil ac <br /> cepleA hy The SuperiNendent u!Ihe Wnler Uepartment. <br /> /S�i�Rned .__ C..__,_.._/ -__... _ ..__ _.___.__A >licant <br /> Accepteit�`�.-.�_J.___191� � , <br /> .�'. _ ._'___'_ '_ <br /> / ...,;�nm�na�v <br />