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. £��� :./_1 �-2C� .E�r. �,�J-"---<< �. _ -. ,'-r:��i) <br /> N.U.Parm/-15o0—F..P.I'o.—L-2f-2! <br /> City of Everett--Watei� Depai�tment <br /> APPLICATION FOR WATET� <br /> All Ulanks must bc filled in or cros=ed out <br /> Eccrett................_. ......Tl...�.N............._....._..._.192� <br /> PO '1'lll: SUP�I2INTL•'NDENT OF Tili: q'ATGR/DP•,pe1P.TNli\'P; <br /> CITY OF 13NL:RliTT: <br /> 1 I�LLiuns,otcthe5�1'ntcr n�mrtment,�for�tpmpuses�und�f ztures�sh ted��brl�nd regn- <br /> e Dm•ing the titne that any ot ihc �c:�ter m;iins may Lc laken up Ly rca�on <br /> of nny intproeriucnls authorize� by U.c Cily of Ecerett, in or of a�q� xtrec6 ur <br /> alli•y in �chich thcy may h.��.e Ui•en laid, the CiLy �eill not Le required lo fm�ni�h <br /> w':iler during lhe progress nt such improcements tu noy cansumer whose supply <br /> ti, mny tLus be cut uff, or LGe li/abte fo^ �my damnges far its fnilure so to do, <br /> Applicetion Ro.....__Q�T:53 ' <br /> .. ...._......._.._... <br /> i;i���...�..3.� �,�c..L.9` �... aaa.. . _ . <br /> �� .2.f o/ �� scrc�c <br /> ��c-a�=-4.. � � .. .. <br /> . .. .__.__._ .. _.._................._..................._._._..___ .. ...___......._. .......____... <br /> The work to be esecuted Up.__.. .. ... ._ . . .. .. ._ ._.. 19umber <br /> _. .. _.. . ..._ ... <br /> 3St�te size af lnp. / � � <br /> ,•� Tnp lo be inserted in lhe main. �} o � ^-""j� . <br /> ....'..... <br /> ...�. .....\Vatcr closcl 'i.- f�� �( <br /> -�'..___.Bnd� �j�� (,U �� �� � � � <br /> —_-_ , <br /> ......_........Unnal <br /> _�".-:......Plain fnuc•et i: .idc <br /> �...... ........Sidc trnik �casl�.cr <br /> `.............lioac Lib oulsiJe <br /> ..�. .._.....IIose bib tur building �vrpoees�: <br /> ..._�_..-.-...Ilose bib inside � . <br /> .�_-.:C.:......Bib for slnble contn�:iin�:........�.:.'..:_..sta1L....._...:.._..... <br /> ....-. �_�- Numbrr of persona in fattJly ._ . <br /> � <br /> � -.' �'umbcr of rooms in building � <br /> .............. i . . . . <br /> V <br /> The premi.acs nre lo Le used as n._ ..... ._._......._.. . <br /> .............................._.. <br /> _......_ _.. <br /> 7'he oamer ot thc premi:,es is..__......._. .._. _. ._ ... <br /> _._..._..._........__.._........_ .. <br /> ' �.ngent is....... ... . ._ . <br /> . ........ . . .._._ <br /> ..._._ . . . ..... <br /> e��plication, nlLhou�h si�ned, ahnli not be hinding upon Uie City, Until <br /> ,lhe Superin�len/dcnt ut the 1Vn�t/�"c,Ucpnrlment. <br /> Signed (�(rLj:,1,1�.....�/ �fj}.P�ji7 rplicant <br /> _._.. �_-.�3is�� n,•. . � <br /> _ .. ........ <br /> -Q��TuperintendenL <br /> � <br />