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\V. D. Fcrn� a ISGO �-LI i C. P. I <br />CITY OF EVERETT==�Vr�ter Department <br />Application f:'or Water <br />All Llanks must be filled in nr crossed out <br />Everel6 -- / J-..��."'_'197z`� • <br />O <br />. _-----------� --� <br />'1'l)'fHE SI�1'I'NIN'fIiNUIiN'I' OF "1'llli NPTF.ii DEPARTMIiiK1'. <br />ll'f}' OP ti`JHRGTT: <br />I hcrrbq apPW 6�r �he usc n( �ca�er in accu:d:wcc a'iUi U�c ndcs and rrN�;i:r <br />I i n: �,f l'he \Vater DzP�rtmrnt. fur Pnrpnses and fix[ares staMd balmv. <br />DurinK Uie limc Ih u:my u( the nal��r mains may be taken up b}' rcason of <br />:mc imnrovcmcnts authurind by tlie City uf Ercrcl�. in nr ot any strccl �.r allry in <br />���iiich lhey in n� h:n•e becn I:�id. the Ciq� w'ill no[ be �iquired tu lurnish water durin� <br />thr progrres n( n��ch imprnvcmenls ln any consumrr whosc su��iy mac thus 6c cut <br />,�ti. or be li:�blc Lm an)' d:imagcs for i�s f:�ilnrc �o In dn. <br />:lPniiurtinnNn._./_.0--��"'__" �� ... <br />%� /,. <br />Rlack .____/•� Lnt _��.-_p'�'�_.__Add_.�1�,!<, � _ <br />\n.""�� r7. ii��� �i..uGfS.��✓_..S�rccl <br />"_' _"'_ <br />..'_ .'._'__"'_ __ _"_'__' _'________'_'_ " <br />..-'I'hetvurFlnbcececu�ed6r..-'-J'-_' --Pluniber <br />tilalc si 'r /o( j:�p. <br />.. ��y'7'aP ta Lc inscrled in the nmin. � �� <br />. _ _ �_.1Valcr dacrl /i/ _/ <br />�_..Nath 7� /,r � <br />u .._..�_ _Urinal ��r✓�i �� O <br />;� _Jj ` _ _ _ '-. - Plnin lauce� insidr a <br />. ___'..Sidc �vaik e�ashcr <br />� . .' " _�" " _ Hn.c bib uulsiJc <br />�. , ._,___�..liusc bi6 (ur 6uilding Uw-po.es <br />�•. „�. � .""' �"' Hosc bib invidc <br />..,, ���..r:* _"__�_Ribfurslablecuntaining._...--_--- st�Jl.__ .__.. <br />"_. _Numbor nf persuns in (amilp <br />j <br />�-. � _Numbcr u( ronms in buildin ���J <br />' .,. .. _._.._-_ <br />: ,.,:.j�L � llie ,irrmises are to be used ns a . /� —e.Ct -_'_".._"'_"' __"" _"" <br />,�,.�'�.t : � 7�._ ,� <br />:-�.`57G'1.. l'he n. qcr o( �he premises is _ `' " �t�c�'✓-_'__"_'_ <br />, ,�,�+�.: — . <br />.. ... �hcaeentis .--�--- -� - - ----�---"-----��----- �--� <br />l'his :qiPlicalian, aldmugh signcd. shall nnt be bindinH upon �hc Ciq'. imtil ao <br />' c����.teJ by 1'he Superinlenden nf �e 1V lcr UrP�rhnenl. <br />� Si�;ned�_/_.-__-.__. -- . ._-__.- /._. -___.ApPlicant <br />.':rA'S i . '/� -. �I � Iiv � �,'��_1 . <br />� Acicp,rd. �� . . _.._.__ __.__'_..__-__ <br />. '- ' • V Sin.�inteneem <br />. �`'� <br />