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tir—��.�U i---���- i. -.w . <br /> E..i�,� �. . . � _ <br /> V/. D. Forr.: 4 I500 J-1-I]C.P. <br /> CITY 0�' EVERETT==Water Deparf inent <br /> �ppincataoa� fmr �ater <br /> All 6lanlcs must bc filled in oryc�rassed uut <br /> Hvcrel[..-------- /i�. �_'_"]91C__�� <br /> TO 'CHL SUP�RIN1'GNDIiN1'OP 1'HE NA'PER DP.PAIZT\]EN'1', <br /> ' � '�CI'1']'OP GY�RG7'T: <br /> I hereby apply for the ire ot�vater in :icmrdnnce wilh Ihe rules and rrFxla� <br /> ti�,n;uf"Phe 1Vater Daparun�nt. fnr purpuses and fixtures stn[ed below. <br /> Uurin�;tlte time tha[an}�ni the water ntains map be t�ken up by reason oi <br /> :utY improvements au[horized by lhe Cirv pf Iiverett.in or o` any clreel ur alieY in <br /> �viiich tl;ey m�Y have Leun laid. the Cih��cill no[6c required to (urnfsh v;aler during <br /> the pro�ms�o(soch im�:ovemen�s to ane consumer �rhose supply may thus be cut <br /> � n((.or be linble for:my ia�nu/qe�.]lor jts failure so to du. <br /> ' ApPlir.ntiun Na.__'.�.._7'-./__�""_ <br /> [�lack y�'���____Lot_ _____ <br /> ______._ \dJ.____ <br /> / _.__ . <br /> _._____ <br /> ..___________ <br /> Vo._��_�.� _�`'`._. .Strce[ <br /> . -'___"''_'_"'__ ' """_"''_____'_."'_"___""""'_'___""__"'_'__' <br /> � '1'Le�vork to 6e eseeu[ed by_____._ <br /> ________ _______________________' Plumbcr <br /> Smle si e o(lap. <br /> i' <br /> -../yTap to 6e inscrted in the main. ��`�� �� <br /> .____.l._Nater closet <br /> _ _'�-[3ath <br /> _.. .___ .Uriral <br /> _._._____Plain faucetinside <br /> . .._.____Side waik �cashrr G�, <br /> ..______Hose bib uutsidc <br /> ._"'_"Hosc bfb far building purpos-es <br /> .. ....____Hnsc bib inside <br /> .."_"'""_Iiib(or str�ble containing.__"____s[all__ <br /> ____`'"..Nuntbcrn(persunsin (amily ���"' <br /> .._�/__._Numbc� of ronmsin Uuilding <br /> 'Che prem isrs:u�e to 6e usrd as a___.._____".'___'_" <br /> ._.__ _._._ ..__ ___.. <br /> The owner of the p'emises is ____'_..____._._ <br /> " _______________________-___ <br /> The aHentis .___'_____ <br /> 7'his :ipplica.iou, althmigh signed,shall not be binding upon thc City, until ac� <br /> rcnled by The Superinlcndcnt o Ihc lVnter Depar m�� q ,� <br /> ��� �jQ //// <br /> Signed-I-------".'(/�_,(^ _- ----"--N✓lQ�C-t% APPIi rt <br /> U <br /> :lrr.�ptrd. .�. '- � . _..11�_. RvL� <br /> -�f-_'_' ..:_�� __'_-____'-_'_""'_" <br /> � 5uC^i�imemicni <br />