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,�-;. r�-7- i3, a�r c � '� �" -� I'r. <br />`�`t`-`� �� �- �- - <br />1V. 0. Fbrm .1-1S00—F..P.Co.—i.:G-:d <br />City of Everett�Watei� Department <br />APPLIC�A.TION FOR W�TER <br />_1ll bl�nks mvst be filled in or crossed ouc <br />I:eerett�-......_:r.�t.sr .... ....._.......1:12.�. <br />._. � . ......... <br />'CO 17IE SUPI:RINTILNDENT OF TIiG R'ATP DCP9RTDIEN'P: � <br />CITY Of �VLI: � 'T; <br />I hereby app:y for the usr, oC ���ater in acccrdance with thc rcles nnd regu- <br />Iztiuns of tlic i�'ato. Depnrtment, for purpuae� aiid fixlures statcd Ldow. <br />During lhe Sirne thnt nny of the water mains ma}� Le tal:en up Uy rcnson <br />of any improvemer,ts authorixed Uy the City af Eecrett, in or of a�y strcet or <br />:illcy ia v:hich t6ey msy hn��e Ucen laid, thc City will noi be required to fun�ish <br />a�ater dm�ing :Le pcogress of such improcemeqts to anl' ,"onsumer tehose suppl�• <br />m:�y tlms bc cut o:f, orr�brc'1 linblc fur :iny daiu:i�os tor its tailure so to do. <br />Applicaticn No....6..a.5 G 0 <br />� ............. ............. <br />. � <br />Block...................I..�......_._... Imt.....�_�.�..r.�..v.._..._._... Add....__._._..__......._.... .._. <br />s <br />No..__-p��"�.�p -._—.. .%�JJ..-` .i,r�j ;�" ....:.........._..Street <br />,�l , <br />_ . _.. _ .. .:.. ..:....... :.:...... ........_..._. ..._.........._ . __.. ........_. ....___........... <br />Ti�c wurk to be executed by..__.__... �/L<G^-c:-�/1.1__ _......._Ylumber <br />�r0�=� <br />Stnte size of tnp. � / -J " <br />._�Z.._Tnp to be inscrted in ihc miiin. <br />.....�...__...��'nter closc. <br />__.�........13a[h <br />c_- <br />........... ....Uri n nl <br />._Z.......Plnin f:mcct inside <br />......_�...Side �enll: �cn;hcr •' , <br />......�........}Iosc Lib autside ,"� � <br />...... .._I?ose Uib for building I�urposes ' � <br />......�......Hose biU insidc <br />................F�ib tor staLlc contniniug....................stnll...........__..... <br />.-..... ....vumbcr of persons in fan�ily <br />...�.. ....A'umUcr of rooms m bwlding <br />The nremises nre to be used �s a .�.j. .�i p_�an°1.S �� <br />"�/` � . ..... ._........ <br />1'he owner of the preciises � _'/,.. ,.._.._. G(:-!.j�l t�.,,�.. <br />'gent is .... . ��'2.i.....� <br />.-,.,, ..........................J....... <br />.... ............. <br />p�lication, although signed, shall not be bindmg upon the City, until <br />� p thc Superintend�nt of the Wntcr Depnrtment. <br />SigneJ...�. L�......_L.G�.. t_'�LC/��,....:: ....... <br />_ � � <br />, :. .... .......��_-�:....._..1'JE..:Z. D}�....:_ 7, �—. ...vL�.:� <br />�' i � _SS� <br />