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� <br /> � � <br /> � <br /> .� - . . /i i . .J- /'I-- <br /> �:'. D. Pn.m � i500 d-1-17 C.P. ✓ <br /> GITY OF CVERETT=�=VVater Department <br /> .P���ali�atn�n f�ar �Nater <br /> All blanlcs must bc filled in or crus>ed ��ut <br /> Evcrett...___. _ 3��� __.191 _�.. <br /> "PO 7'fIL SUPERiN"rEND13N7'OF'fHE WA'P1ii2 DGI'.ARTh11iNT, <br /> CI"I'Y OP EVERF.7'T: <br /> I hereby app1Y (��r �he use of water in accurd�ncr with Ihe rules nnd regula- <br /> ti�m; nf'Che lV:uer D:P��rlmen[, fnr purpnses and tixtu:es stated bdow. <br /> Dw�inq tl�.e time th;�; any u( the watcr mains mny he taken up by reasun o( <br /> ;my improvcinenG authorized bc the Ciry uf Hcerett,iu or nf emy strcet or �Iley in <br /> �chich they m;iY have been laid. thc Ciq' will nn[Lu requircd tu lurnfsh water during <br /> ihe prngress o(such improvements tn anv rnnsmner �vhuse eupply m;q• thus he cu[ <br /> ��li. or bc liable fur any dam:iges ,. • it; fa:lure so to dn. <br /> p Z_ <br /> :\pplic:�[ion Nn.'_'_"� I__'_'_'__' <br /> Riuck .��o G'___ ' '.. .LoL'�_____'__'_Add____ _ <br /> . . ............... <br /> Xn.----�.56 3_.��i-u.Jt_�I-----..Street <br /> ---- ----�_— -----'--------'---- <br /> �fhe �vurktu6erxecuteJbv._______'_ ___ . __ Plumber � <br /> ' ._..____;_`_.._____. <br /> Stnte size of lap. <br /> / •, •1'ap to hc inncrtrd in the main. . .y � <br /> -.�.J _1Varer cluset . ""� ��� . <br /> ` .:...\��.._ . <br /> _._.___ Ra[h ' .\\���J �, " . <br /> i . / <br /> . . ..._ .lhinal � . � p` . . <br /> ��;i �.• , <br /> . .__. -Plain Gwce: inside - � � � <br /> - �,,'1 �`• ,.�, .,� . <br /> - ... �idr walk �vasher � '�y,r �'. <br /> ".,sc Sib ratsidc � '�.,,�4 a4S��L"'- . : <br /> ._ . .:luse bib for building purposes ����=� � �-"'���- <br /> ... ' ., :,; . . <br /> ._____HoscUib inside 4' . . . -'.-'. �" . <br /> ___'_._.l3ibforrtablecontaininF.-.'__._-_.stall___. _ .. <br /> . _ ,__NumbGr nf persuns in (amily <br /> . .J-'__'_Numhrr ot rooms in building . <br /> ,� p r, <br /> The premises are tn be used as a_. __1����.—�_,.<t <br /> ��__.____ __.... <br /> 'fhr na•ner uf[he premises is _____._______.-..- <br /> ____________________'_._-__. <br /> "fhc a�;cnt is .'__'_"_'. "'. "__'_""'_" '_ <br /> 7'his :�pplica�ion. aithougl. signcd, shall nn[bc binding upo❑ [he CitY. ❑ntil no <br /> npted by 1'he Superintendent of Ihe Vntar Department. <br /> SiAncr . _�'_"�__'__'1 ".�`�_2'_VC'/'_'_"_"'Ap itant <br /> . <br /> s �-. <br /> Accrpl`� �/� . L'�)]� ❑���� <br /> �\� �-_.. . __Su..rimen,:om <br /> / <br />