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' ;, �% ' `_ , � n� , � � .. �c . . il/ <br /> W L. Furm � I So0 J�I-17 C.P. ' • <br /> CITY Of EVERET'i-=1Va'ter Department <br /> Applicatior� for Water <br /> All 6lnnks nuret bc filled in m crossed n t � <br /> Ecrrett. _. '�. ---�-�" <br /> ____..__.__.______ _'. <br /> T�) TtIE SUI'IiRINT1iNUliN'I'OI�'1'llli WA'PER UEI'ART�11iN'f, I <br /> CIl'Y OF Ii9G.HETT: I <br /> 1 h�re•by applY t��r�he use nf �vater in�ecorMnce with ih< nilrn Tnd rrgul�� � <br /> ti-�ni nf Th:� 1Vater U:P��rtmmt.fur purpnsev and fix�urrs sta�ed below. ' <br /> Durinu the limc�hat any nf the watrr maine mny be Inkan up Ly reasmi ot <br /> :my imPruremente nuthorixed Lr�hr Ci�y n( firerelt.in �rt nl nny atrect ��i allr}' in i <br /> e•hich lh�•V maY havr brrn laid, thr CiIY w•ill not bc rrquired tn lurnish wa�er Aurin�; I <br /> ihe prnqress u(nuch improvementa V�nny ennsumer x•h��sr eupply may Ihus be eut <br /> u!I.ur Lc liable fnr nnY dam��gea fnr its failure xn lu da , <br /> �/I7 / <br /> Applicnlinn No. _--(�.(� !.�---.- . , <br /> • . / <br /> _ �./r_ ..,'"'._"___ <br /> 141nck�.y_.__..�._ . ._L _.._. -L.^i._.."._Add� <br /> N s�C. •i%� ..�.��---..Street <br /> n.. <br /> . _"_" "'_'_'__ '__'.. ._"'_..."'__'_""'_"_"_' _" <br /> 'I'he wnrk lnLrexci'uted by -" '_- ._-__ '-_-_ _ -.' ' - . .. Plumber <br /> tilate e xc u(tap• <br /> � � -� ,�i�1 �� <br /> � .._��1C-Pn tn be insrrled in the mxin. <br /> '_'_J__Walrr clusrl <br /> . '___'(__.linth <br /> � „_. '__. .Urinnl <br />��' i .._'_'_._.Plnin tnucrtinside <br />� � ,_...._.Sidewelkx�nsher '�� <br />� � <br />'. ' , ___'_._Ilose bib uulviJe <br /> I . . .. . .'._'_._-liose bib tnr builJinH Purpusex <br /> � __. __._Hasebibinside �. <br /> �'�.. ._flibfurntnblecnntnininN---.... .91n11 _. _-- <br /> '. . .. Numhrr of perxuns in (amily . <br />'� , _'�_'Number nf rnnmc in huilding A <br />� 'fhe Prrmisea nrc ln bc unrd ns:� ..�// i�AL!�i�- ._... <br /> .� �_� � •F..Gt�Q��� <br />� Thenwncr�dl�eprrmi�exie . l�- .----.-�:.... .. ........ . � ----..-- <br /> fhe eNrnt is '____. _ _.. _ .. _.. '_...._"__ _ ..__...._ <br /> .� Thb npplicntinn. al�hough signed,xh�ll not br Linding uP���� the CitY� untu ��c� <br /> '�!�'��u�rd by The 5uperin�ende �d re er r runent. <br /> � ,;4 I <br /> y�,5- SiNned .- . - _-... .. �. _--1 _... '�pPlicant <br /> /$M�" l � � r <br /> � ..pled�:�G7-. . .]mC� HY.�.,�y_l--�- � Sin.i�i�n.ncer� / <br />