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. '/. ; . . .. . . . ._ i\I l 1 ... , . <br /> . . ;a T » .. . . . . . <br /> N'. D. Fonn � I500 d-I-I]C.P. <br /> CITV OF EVERETT==1Uater Uepartment <br /> Application for Wat�r <br /> :\II LI,nks must�e Iillcd in ar��ru*Sftl uul �, <br /> " v <br /> � , � ,/� <br /> ..fL'(__2ai/✓_{: � <br /> livcrett. . . � _. .-:_.__.19 ._-.. <br /> ru �r�n: sui�eai�'riavnia�•r or• �rw: �v,�Tr•.te orraurnu:ti�'. <br /> CI'1'Y OG Ii71?Rlil'T: <br /> 1 herehp apply for the use uf a'aler in :�ccorelance �cith iha rules and reflul:�� <br /> i lan:af Thc AVuter DeP:�rtm•nL (or pw'puses :md listure= vlated 6dnw. <br /> Uurinl' lhc time that any nl Ihe n•ater mains may be �aAen up by rcaci���o( <br /> :mv inrornvement.auth�rtize;l bc the City�d licerru.in nr nf anr sirtel or nlley in <br /> o�hid�lhct• inaY haee bcen I:�id.thc Cily �vill nol bc requimd lu lurmsh walcr during <br /> �hr pru�;mss o(sach impravemen�s to any causum��r �ehove cupph� may �hus Le cut <br /> nif. ur bc liable fnr any danu�ges(r.r ils faihvc sp to do. <br /> ��n <br /> ApVlirnlinn Nu._"'_'_/.�-�-/--""_. <br /> lilock .-__ '�'_ __"-.Lf�_� �� 1dd __.. . .... .. . <br /> . <br /> \n.____o�.��l'�' .... __:.'��:('L_��.'__..S�rcet <br /> _'_. ..__. .. ..__"' ' ____"_ '._..._._.'__"') """'_'_ <br /> 'fhe�rurk lo be rsecuted b}' �' ��J! f(-C1..1lAT/"_"""'__ Plumbcr <br /> Stalc s c of lap. <br /> ._.�..'Pap ta bc inseAcd in [hc»tain. _ � /�d " <br /> ... .. �. Naicr du�et <br /> .__._..�. ISath <br /> . _ .Nrinal- <br /> 5�__Yl:�in tauccl in.b"-'��' � . <br /> .. __ __Sidea•alktc5?fi.. <br /> . . _'�.-'_Hnsr bib�wt�idii:..' �. � <br /> ' _____Ikre-hibfiTliiSildniu ���: <br /> . .______Ilos-c biL inside —. <br /> .___.'__8ibforatablccuntalning._.....-- stall. .. . ._. <br /> __' __'_Nwnberof persnns in fnmilp . <br /> � .'_'�'__Number nf ronms in building <br /> "I�he premises are lu be used as a__'7 '�- � '_ .__ .__'.. <br /> f. . � _..._. 1 ._.. 111 <br /> '�� ..� i . :-j <br /> The a�rncr nf the premises is _'_"�_ "'_"____ ✓'_F__ i __-'_.. .. <br /> 7'hcaCentis "_'____'."_ ""'_-___"._ ....._'."____'�'. ._.___'.__ <br /> '1'hiv applicatinn.althuueh signrd,shall not 6c binding u, on lhc Cily. until at. <br /> cepted by'Phe Superimendent nf the 15S�ter UrpartmenL � <br /> � < < �y <br /> Si�,ncd ..C_ -1_ c. c 2/ __ " Applicant <br /> f�_.. <br /> Arnpted�i ��.� I�c_ . �� =L � . �.. ... <br />