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n r(J 14 4 7y I'!. <br />\':. U. I'nrn � --1G���—E.P.Co,-5-2G-:4 <br />( , _1 �i. , _ <br />_.n_,� <br />City of E��erett�--Watei• Department <br />APPLICATION FOR V�TATER <br />All blanls musl Uc [illed in or crosscd out <br />I;verett,........._���_3.� J-��_ .............._..........1Dn.._.. <br />TO 1'llli SUPlili1NTF.NDE\T OI' T11F \\'ATFR DGPAIiT\IL\T: <br />CITl OP F.VLI:TT1': <br />1 I�rreb}• nPDll tor the use of �cnter :n necard:moe �cith [he rules miJ regu- <br />Intions of the 11'ater Depnrtment, [or purpo�cs and fic'.ures SSRIe�I FcIC\t'. <br />lluring Uie lime that any o[ thc �caLcr mains m�3' be taken up b)' rcason <br />of any imD�'ovciuenls nuthr.rized by ihr City aC licerett, in or ot nny street or <br />�Jley in «�hich thry nmy ha��e Ueen Inid, Lhc City will nuC be required tu furnish <br />wnter dm'in, the progress of such im��rocement� tn nny coo=umer whose tiuPPly. <br />m:�y thus bc cut o:f, ur bc 1in(61e pfor :�ny damnFcs Cor i;s t:ulure sn to do. <br />Applicntion No......�-U..u�J� ............. <br />L'locl 9 Lot . � .. . .. Add.. _ _ . ... .. _. . . . <br />/.........f� . .j . <br />No.__J.11'�..oC ...U� �'�.��.____Strcet <br />�: .... <br />__ _.._._._.__........._.._.... <br />The �vork to be executed by-- -.-..-. .. ... <br />/ Slale size of tap. <br />� i�...TnP to he inscrtcd in thc m:�in. <br />, j. <br />__., �,....._\\'atcr closcl <br />._..�..._.. Unth <br />..__.....__.._... ._. . _._ ......................_..... <br />. . . _._.._.._.......Plumbcr <br />...___.__...Urinal <br />.. Z....... Plein [nucct insidc <br />.__...._.....Sidc �ealk �en:;l�cr ..__. <br />.[..........Ilo=e Uiu oulsidc '"—'� <br />i <br />.._._........]Iosc Uib for Uuilding pm]mses `, <br />...._..__TIosc bib inside r �• <br />....__........Bib far stnblc cmunining.....__._........slnll............_.... '•.'� i , <br />.............._Numbcr of Persons in femily ^ . . : �. <br />.� Numbec �� �umns in buildin�; �I ' +.� ' <br />'Pl�c P��^��°es are te be used ns n..� -���<- �ti�f^-y"���-- --- <br />1'he owner of tlie pre� u es ts .. ,<'`" 7.� 1 �,� F/p/G�/1/•!�� � <br />The ngent �s ............. . / �. __ .__. ............ ....�...:.. ._._... <br />Thia npplicat�an, althouRh .'1, ned. hall not. Uc bindin�. upon Lhe CitY. until <br />nccepted Uy the SuperintemJ�nt oC the Nater Je �nrS1nent, <br />1/ (1 �./j.%��. 7��f�! ...... . .-.Applicanl i <br />Sisncil�j ...... `}� � <br />��r ' <br />Arce�ted._.�� �J..'. / 1�"�� B}' � . _ vr��ndent <br />�___ <br />� ' <br />