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,.- ' - n,.'.- ra. , ?I . . E.. . t_sluc�l-'�i.t-r i.-� �' , <br />\V. D. Farm 4 I500 3-I-17 C. P. <br />CITY OF EV�RETT==�`,�ater Department <br />Ap�slicatior.� for �Va�er <br />�VI 6lanks musc ee filled in or crossed out <br />fiecrctt�-- ----'------'--"b/�---�-----.19IL_.�L <br />"Pt) 7'I1Ii �UPERIN'fENUliN7' OP "1'HG 1VA7'ER DHPelhTnilit:7', <br />CI7'1' OP GVIi12I?7"C: <br />I herehy :ipPIY fur the use o( water in :�ecordance �cith die rules and regiiln- <br />�i m; n[ "fhe Na[cr U-_P�run-nt. (ur purpnscs and fixmres stated below. <br />Uuring [he time that auy nf the water mains may b: taken up by reason of <br />anY imornvemants authorized by lhe Ci,y nf Ecereit. in ur u( any street nr alley in <br />v:hich Uiey m'�y have bean Liid. the City will not be rcquircd tn furnish wnter durinp <br />the prnq.c�; ��f such improvements tu :my cunsumer �vhose supply mm� thus Ue cut <br />oi[. or be liuble !or anp dam�:iges (nr its failure so to do. <br />npp��rnti�m No. ---- 7 � � �/-- <br />lilucl: --L�"� �o ..__._LaL_1-�.--------. Add---'--�---'-- -------� <br />\u._._f.�-f-/O_ _.�.�L.U__���__.-.'____'..Slrec[ <br />___._ ____.__'_.. . _______._._ .___....._____..____-_'______...___._____. <br />'I'hc wurA to bc executed b}'________________ __.______________ ._ PlwnSer <br />Stale SiZe n( tap. <br />i�?--� _.7'ap tu T�e inscrted in tlia inain. I� �— � i�. <br />� � cr,,, -;�t `� � -- <br />- tv,��� u��«c f R- , . . -.._. . � <br />— ...�s,m ��,,; �'"_- <br />___._- .Urinal <br />..._..--Plain (aucetinsidc <br />.. ____Sidc walk �vasher <br />___. _._lluscbibo�usidc <br />._"_'_._ Jiose bi6 (nr building pur�:osrs <br />.____'.___liosc biL iusid� <br />_."_'.._.Iiibforstablecontaining__.__.._--sLill__ ..__ <br />_ ... _ ___Num6er a( persnrs in fmnil}, <br />_j._.__NumLcr nf roonu in builciing <br />Thepremieesaretubeusedasa_.....__________________________-_..._ .. ._ <br />'fhenwnura(Ihepremiscsis'_."'.___"__...-'-' -'_._'_"."-_.__"__' <br />' 1'hea8entis _______.._.....'____.._...._...._.__._____'________-._. <br />'Phis npplicaliuu. althuugh signed. shall nut be bindinti uP��n the CitY� ��ntil ac <br />rrPtrci try, 1'he Superimm�de�iY uf the7q—'nLer DeP�j4ne/n�t. <br />Signcd_.v�'�_�_(.��L._ :_/.�/.cV�_'=�___ ApP�';�nt� <br />\rccp�ed /J.___'v �- . �,/ " �'_'_� <br />�.___..19��- Bc .— -. .� __ ..___... <br />_ , � _-.s,�..�i„mni�m <br />