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6/:'t-n — .., - , - -. _ - �- . <br />�:�_n.a��_�a �=_r.o:.�,.i�a�-. - . <br />CiTY 0� EVERETT==1�Vater Department <br />,���lncatioaa for Vi1�t�� <br />:111 blanl.s must � illed in or cruss =[ <br />/�i� <br />ICcrreft. .._ . "�'_"'__ _'_"_"__'.. ____". .-�91 ___ .. <br />l'.l 'I'lll�. SUPIiRW'I'1�:`:Uh:A'f nF'CHIi NA'1'Lli DBPARTNIi1�"I'. <br />CPf1' OP EVLRF."I'T: <br />I hrreby apPly (nr tl�e use uf water in accnrdanee �cith Ihe rules :ind refnda- <br />tiuiu nC The 1Va[er Uapartnt:n[, fnr purpnses :md fix[ures stateJ beln�r, <br />Duriq¢ tlre time thnt nny uf the water nmins may br taken up by rcas-on of <br />:m�,- imoruvemcn[s autlmrized b�� tiie Citc uf Evcrett, in or n( an>' street or aIIc7' in <br />�.c:iich thrY ���'�S' have been L�iJ. lhe City will nnt Le rrquired tn lurnish water durm�[ <br />ii�,r �n�ntirrss u( such improvements tu anS consunier �ahiw�• supplp may thus Le nn <br />����L on c� Ilable (nr any dam:+qgc; (or iK (alure so ro da. <br />.lpplicntion No.___��_/. ���____ <br />isi���i; � ° 6 — ---L���.. �7-��-/�__n�ia <br />��,._..���3 -� �G L ------ -- - --s«<<•� <br />'fhe wnrk to be esecu[ed by.._.__-__'______ _. _. _._. -.-. . <br />si::i� . �.� ��r r��. <br />��� _'1'ap [o be inserted in the main. �� <br />� ___���8Ic1' C�b�CL <br />. . . . . �. . _ Iial ll <br />Urinal <br />. __...Pl.�in [nuect in=idr <br />i�i���,�i,��� <br />S p ry <br />� _ _"_ <br />.. ___'Sidc x':dk n;�sher <br />_ _._Hosebibuutsidc <br />.-.-_IlosebibforbuiLiinGpm�puscs � <br />-� �� . _.. Hnse bib inside ��-/ <br />___.___Ltibforstablecontaining___._ .. =t;Jl .�/;�. . <br />_ __ __.Nwnbcru[ P�rsuns in famil� � <br />��___Num6i�r n( ronms in buildin�; <br />'1'hc Prsmises arc tn be used as a _.... - . -_ ... _ _ . . . _ . . _. _ . <br />'1'hrmvnerofthepremisesis _____. _.__ ._ _ _ _ ___ _ _ ____ __. <br />"fhcagentis'."__"_'_'.-"__'______"'.--._'_'__"__'. ... _._ <br />7'Lis appliration, althouFh signed. shall nnt be binding upn:i Uic Ci�p. until ac� <br />r��pir,l bi� 'llic Superintendenl o/f 1the \V�[cr Uepartment. \ <br />Signecl _._.__V,_/Y-•-(.(/—C�(/�"�1.�-_�._1�—Applieu�d <br />Arirpled; .t�_ �r.. _�� 13y e� __ " __ . � ''" .._. <br />\ <br />J� .'.....�,.�•r.,...., <br />d <br />