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�� <br />w.� ��,m. <br />CITY OF EVERETT—Vvf�'ER DEPARTMENT <br />APPLICATION FOR WATER <br />:\II bl:mkn nmsl bc (illcd in or crossed uut <br />� <br />1•:vrrrlt�.. . . . ... .:.�..../. ��) 1'� i <br />'Pu'1'III: tiL'1'PI'111��SN1)};NT OF TfIF. R'ATF.R DEPAIiTh7F.N'I': <br />CITt� OF EVF.RETT: <br />I hrreb>' . pPiy for lhc usc nf a•idrr in areurdance wilh thv i ulrs an,l rrFN- <br />I:itinns n[ lhe Wnlcr Depnrtmenl, (nr purpuses nnd [Ixlures st;itc�l hrin�.�. <br />Uuring lhe timc lhal anY ��( lLc walor nr.�ins may bc takcn up hy rr:is��n <br />nf nnY itnprnvoments nutharized by thr CiIY ��I F.verMt, in or nf nny ziro�4 or <br />allep in which Ihey mny hnvr been I: �d. lhe City will not be required to (irtnish <br />�c:drr during Ihr pratiress of such imprnvements ta any conswner whnv� ��un- <br />ply may thus bc cut ut(, or 6c liablc for anp dnmages for ils fnilurc Ro t�� -I�,. <br />/ p ' <br />Applicnlion No....1...0.....� �.�.___. . ♦ � , , �. ,. . ,.. <br />�j . /. •-�� • � , <br />❑In�•k __. ....__. Lot �. �' _.. Afkf1�._<_.. ". /�•� -- <br />N��. � � 1' . .._- ? f . _'`... _ _ �a��t <br />_..__.......... ._. ._ ._.. _ <br />'1'h�� work lo bc executed by. ..___. ._... <br />tit;dr size u,` lnp. <br />�' ...T�ip to be inscrted in the main <br />�.y• .._...Walcr dasrl <br />_...Dath <br />_....Urinal <br />ri���� �•, � <br />.._...Pluin fuuccl in :�i� 1 <br />i <br />. Sidc tvnik w�u!�,� •. <br />. ..Ilose bib ouD:i�b� <br />_..HoSe bib for le�il�.!�.mr Inu�� �..� <br />lfasc 6ib insrl�� . <br />i <br />__[316 (nr slahlc conlninin4; .. .. -. slall . � ' � i � <br />.. NumUer n[ prrsons in fnmilp /,� � <br />. .Numbcr of rnums in building `�` ` ! �{.1 1�.� - � / <br />'i'ii�� premises nre to br us��d ns n _ " /: i� U . . _j �.J �... ,. �, � „ <br />l'h�� owncr oE lhc prrmisr� i� . ;.� � _ . .. r+ . . . <br />� �. .��� ..� .. � / _' <br />.'..;�r ;�I:citl I6 .. � Lq . ..'..J�il,... � <br />'I'his nPPlir,itinn.:iltt u{!h signr �. �rhnll nnt�be binc' uport lhc Citc. until <br />ur����pt� I 6y lhr `iuprri (r,�drnt nf ir R'r11ry'Deparh l. <br />tilcnr�d'_. �il�n.�<��i�. ����—�'—APPlirnnl <br />� �n. Ry' <br />' ' � ti�qiri �,n!� n.l��nt <br />