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. . � � -�� . . T . .. "^ <br /> ., . ,. . . . � _ . "f-n-iJ /o_try.�a >� ri1 <br /> 0.'. D. Frnn s i SJO .1-�-I]C.P. • <br /> CITY OF EVERETT==Water Department <br /> Application for W/a] ter <br /> All blanks must bc filled i or crosscd ilti(/ <br /> _ ��,.[� !/ <br /> F:rcrelt..-_'_.�___... _'__.'__L.._______19Y�.- <br /> 'P(1 '1'HF SUPIiRIN9'ENUIi\'I'OP'PIIE WAT.R UGPARTMFNT, <br /> CI9'1'O� EVERE7"C: <br /> I herrbr apply fur the use nf wnter in accordanee �eith the rules and regiJ:r <br /> ti m;o('1'h�• N;uer Uepartmem, tur pnrposes and fixtures st:uecl below. <br /> DurinK the time ihal anp uf ihe water mains may be taken up bY rcnson nf <br /> nnp imuruvvments autl�orized by the Ciq�of Everrtt.in or nf an)' sircel nr allep in <br /> �chich tliry rri�' havi• 6ecn laid, thc litY will nnt bc n�uircd to furmsh watcr durinR <br /> the pro�.res.n(such imprm�ements lo anp consumer u•h�se supply mn)'thus be eut <br /> nfl,or be liable fnr nny/dam(�.y;es for i[s fiiilure so In do. <br /> Applirn�innNn..._/_O ��'__._" 7g3� <br /> RIuCA .._�-��J/" Lot _}_'_�j'....—..- Add <br /> ._-_ / . __.___._�___.. <br /> \u.'_�� /f.{_ ' 1/�a�iY/(_-""'..Slteel <br /> ' " _ .'__"' ' "_'"'_""___� '�'_" ""_ "_""_""""_""'_"" <br /> _'"_ <br /> 'fhex�ork �nlme�ecutedby..�____ _____�___ ,___' Plumber <br /> State yzc ni lap. <br /> -/°2'_T�p ln bc inscrted in thc main. � /� o0 <br /> .___(._11'a�cr clnsrt —. <br /> .._._(...Rnlh <br /> . . .__ -Urinnl . <br /> . -_1.._Plain Lmtei insidc <br /> -' "Sidc wn{lrmshrr <br /> . --_�._Ho�chiboulsiJe <br /> � <br /> __.�Fiose-bib for building pw'pnscs � � <br /> ___ � <br /> -_..--_cHnsc hlh tnside-� ��-� ' <br /> ___'_ _'_13i6tnr-stnbFe�rnntainin�-____—_....stall_.___"__ <br /> _. NumLer nf persuns in (nmil>. <br /> r__ <br /> --.d_-.�Rumbcr o(raoms in 6uildin� . <br /> "Phe pcemisrv an tn be used ns a. , _. / _ r�_ ". <br /> //� _'_'"/J//yJ <br /> '1'hc mancr ut Ihc premisc�is C__:,���"'/. .' 1..�_ _�!,-�C�'"�2f/ <br /> Thc nKent ig . _._. .__' . <br /> .__ .._._.______' '._____ _.____ __..____.____ <br /> "1'his :q�plioalinn.:dthou�;h signed.shall nol 6e binding upon thc CitY. unGl ac <br /> d by'fhc Superintendcul the lVntrr Depa mc . �/J . <br /> Signed __._... �-r�c�-�.(=L.�_ __ --_.___.Applicant <br /> Ac[cPled_/�._�6y-.r-_�.r�,� R' �'� � . <br /> )'`"���/:.___""__ _""'_""""_" <br /> ��' Snnrime�dem f' <br />