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i <br /> � <br /> ,'., ,- ;_:�f '� - I - 1"�.-- .�� £ ,� � - . <br /> w.o. po�m � isoo a-i-i�c.r. <br /> CITY OF EVERETT==Water Department <br /> � Application for Water <br /> AII blc�ks must be fi ed in nr crnwacd nut <br /> EvcrMl. (.� .._.'_. .._�._. ._._. __.191 �'�, <br /> TU ':'lIB SUI'h;HINTF:NUliN7'OF"(!IE 1VAl'GR UFPANTMENT, <br /> CI'I'Y OP E9ERF.7'T: <br /> I hrre6y appiy(or the une uf wNtrr in nccnrdanre with Ihe rules and reRuln- <br /> ':�,ni u(7'he \'Jater Urpartm�nt. (ur purP��ses :md fizturrs stnled Lclow. <br /> During Ihe time Ihnt auy n(1he wnler mnins mnybe taken up hy reaenn of <br /> any imnrnvcments nutLnrizal Lp thr Cirv u:fi�errlf,in nro( nny sirert nr nlle�� in <br /> �rhirh Ihry may hnvc bee� laid, the City will not bc required •n lurmnh water during <br /> thr pmprrvs of auch Intprnve•menlv In nnv rnnsumrr ahixe S��nri: -�..�� ,:.,,e���„� <br /> nff.nr bc liable!or an)'<Innr.iRfr�x(nr ils L•ilure so In do. <br /> ApplicntionNn.._�� u � <br /> ' "'_'_"- <br /> , Nlock "''�.._ _ ..Lyo�..�r:�=/G - /.7.Add_...._ <br /> n2G.o� ,� �G-:�.,� - ._.._-- <br /> x��. - �- - -- s�re�� <br /> - _ .._ . _- -- - - -_ - - ------- - --- ---- -- <br /> 'I'Lea•orkloryerxeculrAby..___...___..._' .. _.._' ____ Plumber <br /> $InI/P)ILrol �tp. ��� ��"'�� <br /> .-/.-�''_Tnp to be insarlyd in ihe main. .fj / `�� <br /> ...._�_ .Wnterdnset -//� �J � <br /> .__.�._.Ilnth <br /> -__ __ .Urinnl <br /> ..-...... Plnin Lmrel innidr <br /> .._.__.Si.le wnik wnshrr - <br /> .. .__..._Ha:;e bib outside <br /> .."'_"_Ilase bib fur bnilding purpnscn �; <br /> . .-_.__.Hoee hib insidc � <br /> i <br /> -___'-.._flibforetablccontninmN-....__. .slnll.._' .__" / <br /> -- ' / Nwn6rr uf persnns in lnmily � � <br /> .. .`7.._Number uf ruoms in building <br /> '1'hePrrmiscenrrtnbrusrdnen_._. . __.__._..._" <br /> . .._...__..___ ...... <br /> 'Phcawneroflhepremisesis ..__. .......... <br /> . ._...__ ___.'_..._ <br /> '1'hengentis _...._... .._ _ .._....___ . .- <br /> '__'_'_'_ .____"__.. . <br /> "P6is npplirntian, �Ithmigh signrd.shnll nnt be bindinH�iIK��� Ihr CiIY. unlil nc- <br /> .crpled by The Superime�den� yf th� ltlalrr Ur'iartmem. <br /> / <br /> s�u,�a ...i���-![:.S_,-�:.4 r7.-zr±-y•r <br /> �� . _-.'___-1.Applicant <br /> ArcePted. �..�-�--..I�Z Ny <br /> __- ..n� ,�n.�..., / <br />