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— � y. __ .- _ _ . .. , <br /> � <br />� ` <br /> f <br /> �,.�t�ii �. , � <br /> i=,y-r�:-i,-�, v-� <br /> . � , <br /> W. D. Form i I500 J-1-17 G P. <br /> GITY OF EVERETT==Water Departm�nt <br /> • t�er <br /> Ap� <br /> lxacation for `VVa <br /> All�lanhs musl be filled in or crossed ool <br /> _— �! 6 -- -- �9� [._ <br /> s�•�r<<c.- -- -- <br /> 'I'U 'fHB SUPEftI>1TENDiiN'1'OP 7 Hli WAT6R DF.PA::TMEN7', <br /> Cll'}" Uf FV@Rti'PC: . <br /> 1 herehy apply for the use of water in accnrdance widi the rules and regula- <br /> tiun;��("Che 1Vater UePartnr:n;, (��r purposes anJ fixlures s[ated bclow.' reason uf <br /> DurinK the time that unY �i thu`� (`Lvere t in�,nrb f�ar,,l'ns[roet or alle5 in <br /> anS imProvemenls autl�oria.ed by the Cit. <br /> which theY ����0' hava bcen I;iid, the City ��'iil uot be reqoired [u (urnish«•trter during <br /> ntf, or�6c liable fm�an5'�1r�����'��'r�ie: f�ilure�so�to�o.huse su{�pl}� map� �hus Le cul <br /> ApPlicntiun No.__'�_�Q�_-_-- <br /> Illock ._Lct__'__'__ _' -Sc� '_"_..-_ - , <br /> _. <br /> ____'._____ -. _ <br />- .-�-n Veet <br /> __' <br /> \o.___'"'�`-T-"-- _'t :. "� /y;,:.,� �-' <br /> n �IFI . - -• -,., _ _. ," - - ---- <br /> ��-�' _ <br /> - - ---- <br /> ��f,-_----_-- Flumhcr <br /> 'fhe work tu be e'.eculed bY----------' <br /> State sizr��i t,p. <br /> a e <br /> _�i.{_�__Tap tu 6e �nscrtat in the ���ain. y/.• ,. � g � . <br /> _/ <br /> __"'"'_"_�Vater dcsel / <br /> . ..____-6a[h � � '� <br /> --' --_- .Urinnl . . <br /> . _.___.Plain taucet insidc - <br /> __'_"Side u'alk washer <br /> _'_. "_Hosebibuutsidc �� , . <br /> _.___..__Nesebibfurbuildin3Pmpasrs � � � .. <br /> ._.____IioscSibinsiJe '� '� ��.. �� . <br /> ..___'____I3ib(or�tablecontaininB.-..-_- -:.tall..__'..,F"' ., <br /> �,''ti`Ci-__...., <br /> ___'._____Nwnbcro( persons in ��amily ���..;�,� /' ., <br /> '�-�::n—. . <br /> � --_�.'_'Numier o( roon:s iu b���ildi�e . <br /> . "'_'___._...."__"__"_._ ___ _. <br /> The Premises are to Uc :is•r :is a .-_ .__" <br /> "Phe o,vner of the Premisrn is ___'_._.__._"_""__"_______'________________. <br /> . . 'I'heaKenlis .___.__._ .'___ .__-'__'__._____'- .____._.__ <br /> � . 7'h:s applicnlinn, althou�h sip�ed,ehall rot be binding upon [he Ci[y. undl nc- <br /> �.� .-• .�.v'P•:d Uc Tur Superintendent o(the R'nter UeparlmrnL � <br /> � . /� <br /> 1 ,/ /�.cZ ____ApFlic.mt <br /> Sj;ned _ �fl�-./tl.L 5� �_, -- - <br /> Accepted_ (G � --- �rt� �Y-U� ' <br /> _��i•.i„���:��� <br />; <br />