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F..rr•-�. r'.,�,. ( rri <br />' _ t' T.il�v� � �� - .. " _ . , <br />\�'. D. Fo'n b-160o--E.P.Co.—G-:G-2/ <br />City of Everett�--uTater Depai�tment <br />APPLICATI�N FOR WATER <br />All binnks must be fillcd in or crnssed out � <br />. <br />(, � � i <br />Lvcrclt.................................... _..-�.................._..__.1!1_-_'.. <br />1'0 TIIG SUPERINTI'sNUIdNT OF T[iP WA'fP•.R DEPART\IF.hT: <br />CITY OR BVFBGTT. <br />I hereby apply tar the use oC �caler in necm�dnnce �vith lhe rtdrs :i�d regu' <br />Intions ot thc �Pnlcr Deparhnent, Cor pm�puses and Ci�:mrs stated 6clo�c. <br />During the lime thnt nn}• of thc �entcr mnins ma}• be lnken u�r Ly renson <br />oC nny� improt�ements nutho�ized Uy the Citt� ot Ii,cerett, in n: nt any xtreeL or <br />nlley in �rhich thcy map hnce Leen laid, Lhe City tvill no[ be re�uircd to furnish <br />weter during the progress uf such improcements lo nny consumer �clmse. su7�ply <br />may lhus hc cut oft, or bc linblc for�y �iny dmnages Cor ils failure so W do. <br />Applicntion No........_..�3..�..�.oc„_:.. <br />Qlock........3.0.�'.._�..:.�.... Lat .................__.._............... Add._. . ___.... ... .... <br />.._... _. .... <br />No.......�....._._......_..._. r� ................Strcet <br />... _ ....._ ....... <br />_..._ ..................._.............................................._.__....................___. _.............................._... <br />The tvork lo be exevted bY...._.........��--.��� , ... ._._Pltunber <br />..._ ._ ...._.... <br />Sjate aizc o[ tnp. , <br />� <br />��1..........Tnp to be inscrtcd in tltc mnin. <br />'-- J <br />..._........._WRLC[ CI05CL .\ f <br />. . y ,_�� <br />................QnH� 1l}r � <br />... .........Urinnl <br />_... v_...Plnin Snucet iuside <br />�_ _. . <br />._..._........Side wn1A n�nshcr <br />� <br />................Ijosc Lib oulsidc <br />._..........11osc Lib for building purposes <br />..�_... .....Hase bib inside <br />-- <br />................IIib for stablc contnining...................stall..............._... �'� �� <br />:...�., Idmnbcr of persons in tamily I <br />.... <br />....��....NumUer of rooms in builJing , <br />The premiecs arc to be used ns n.... ... .. <br />......... _.._... <br />The o�vner of lhe premiees �s ...�.. �, ..�7�t�t.,_����� p <br />� Y.c.^' '"��...... <br />Thcagent ie ................._.............._.....__...._. <br />- ____._ .............................................._.... <br />Thie applicntion, nithough si�ned, ahi�ll not bc binding upnn llle City, until <br />nccepted Ly pie Superintendc of the \1'atcr Depnrtment. . <br />Signed.�,...�.,�.�._ ,�{�..��� �� Ap icant <br />- �.t` �� _� r� <br />n����t�a . _ 10.:.�' �?L�S . nl � <br />�.i/_ .� <br />Su _intendent <br />