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tx.i:icd' :<-i=A•. �_�, , , �l Q� _ i.� — , j i' . .r- <br />..��_�y <br />v� II.PunMi—IfUO—}:.7'.Cu—G-:G.2/ . , <br />City oi' Evei�ett�-Water Dep�rtment <br />1'�PI'LICAT'ION FOR WATER <br />All bla»ks nmst Ue tiiled in or cirossed out <br />— / <br />�:.��,��t,....... f `1......_ ...................��z_.s <br />TO 71IE SUPERINTI'sA`DE�CITP Ofl li\'E`ETT;L�L���RT:dGNT: <br />I herehy nPP�S fur thr uw� of wale^ in :iccnrde�ce wilh the rt�les and :.egu- <br />lations o[ tLc A'nter lleP��'dnent, for pmpuses .�'d fis:w'ca sl�ted below. <br />During thc limc thnt nnp oi thc u':dcr nmias mnS bc tnken uP �Y rcason <br />of a�i}' ����Vrocements nutlioriud U} lhc Citp of P;�'crctt, in m• o: uny nLrect or <br />ulley in which ihrY mn�• hnce been ln�d, the �::ty �vill not be required to furnieh <br />water during the progress ot such imProvemente to any c���umrr \SIlUSC supply <br />mny Lhue bc cut rf[, or Legli�lgG .�oy d:.magcs for its t:�ilure so Lo do. <br />ApPlication No ..................__.........._.... `� � -� <br />Add� <br />�;�o�k .............�.z.__..... ...... t.o� _....9//._-�. c. a .__ .. �. i��. <br />. �.%. �...l.._...2.e.[.-e_..l�L..V�1�._..........Street <br />No...... <br />. ...._.._. __._..__.__ ... _../ <br />.... . .. ._. <br />. _ ............... .............. <br />TLc �wrk to Le ceccuted by Y. - -�"'��-•�- �--PlumLcr � <br />St�te eize of tnp. ' �� <br />/ . <br />, �c <br />_�.�......_Tnp to Ue inserted in the mnin. �, <br />r o <br />..._..�...._R'nter dcset I'7 ' . <br />._ _./._......Bach <br />.:.............. L'r i n nl <br />....,.!-;,.....Plain fnncet inside <br />'_ _ <br />.__........_.Sidc �enik tca;Lcr <br />.4-...........Ilaec hiL outsidc <br />___-._:..3iosr Lib far Luilding PurPoses ., ._ <br />................Iiose bib insidc �� . <br />._ .............11ib for stnUlc containing....................slnll................�..�. <br />__',,:,_,..:.:�umbcr o[ Pcrsons in family <br />�� .Numbcr of rooms iu Uu �dir.q ` <br />.......�.... � � � � p <br />The premiscs aro to be used ns u 1��''"--'o'--����--� ��������--�"- <br />Thc on'ncr of �hc Prm�iises is �.._ �-�«��� ��--'--� <br />Thc ngent is........._....... ....._ ....................._.............. <br />_. <br />_ ......_......... <br />................. _.......... <br />This npplicntion, nithovFh =igned, shnll not Ue binding upon tlie City, until <br />nccn.ried Lp the SuPcrintcndm�� '.he R' r Dr.pnrtment. � <br />�{��� ��> , , � <br />Si'gned. G� . . . . Applicnnt <br />_ - <br />_. <br />- � ....:.192.J�"— By..._.. � �!f/.�!/ ........... <br />Accepted . _. :�__.: -.� . � <br />- - �-� � _.�S mtendent <br />