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.:. :i Pum 4 �sao a-:-�7 c.a. � � . <br /> CITY 0� EYERETT==�Vater Deaartment <br /> �pplication f�or VVatex' <br /> :111 blanl:s mus[ be filled in nr cros>rd wl <br /> /� �Fivcrclt. -- ___--..191 �--. <br /> _._ ___.__.__/_ .-' - <br /> "PU THE SUPIiRIN7'HNUEN"C OF'PIIB \VATfR UI3Pr�KTR11i�'I'. <br /> CIl'Y OP E'iERF7'T: <br /> ( here6y nPPIY (��r tlie oee nf water�n aecnrdance a'ith ihe rules:md reculn- <br /> ii ro;n['Ch��Natcr Departm�nt. (ur purpescv and fixtw'es stated 6elo�r. <br /> Uuriug thc lime lhat nny nf the w:rter mains mac he taken uP bY reasnn o( <br /> :im' i�npruventcnts' aulhnrize:l by the City c[Bverclt.in or o[ any strcet ��r elle)' in <br /> :vhich thrY �»�Y have been laid. the Giq� «�ill not bc rc9uired to furnish H�ater dorinf; <br /> tLr prngress n(vch impmv<ments l��:�i�5' consumer wha=e suPply mri}' thus be cu[ <br /> �ni. or be liable for any dam�ges (or ils failu.= so tu du. <br /> APplirn[iun No."_'�-�j.�_d"""" n 7 <br /> � --�-L<,�.�cL-_�9 - .�dd_�-v�-c/t,a-r-o-rl. o� , <br /> �tt���k . �4... / � � ,f <br /> ./.)_U_� /�V'� -------.strect <br /> .\u.___ .-- - '- _ <br /> _ _, __ <br /> � <br /> . ._' _'_____"""'"'__'_"'_"_"_ <br /> '__' """__"' ' "__'__"'_"_. __.""_. <br /> _UJ-��_______-._ Plumber <br /> ��� .fhe wnrk to bc executed by-._ - <br /> State si>e u(tap. ��� <br /> 3 _.'Pnp tu be inserted in Ihe main. L,� . <br /> /�- � <br /> _1Vatcr daset <br /> ._ _�--_[3:dh � � <br /> _ .Urinal � ��1' 11'� -. <br /> _... .., i�v ` <br /> ._Plain (aucet inside "-��... <br /> _.._ 1/`w�/ 1 1 � �(\ . <br /> __Sidc�calk washcr � � � '�'.'ti , <br /> � i , �1 <br /> - �� ��,� � � <br /> _._.____H��sebiboutside , :"��}i: . <br /> ._'_'.___Ilose bi6(ur buildin�Pu�P°+es ��jR t,�(�� ,t;7 ,� '� <br /> , i. <br /> __"__.HoscUibinside '\ '• v �l <br /> . _[3ib(orslablecuntaininR _.-_--.-.-stal _ _PL�__u_" ��: .�r <br /> ___'... � <br /> _ _____Numbcrn(Per>onsinfamily � : ' �Q� <br /> _..�____Numbcr af rcunu in building �er <br /> 'fhe premises are In 6c u�ed n��---- - -- - <br /> ' ' _'__ _'__ <br /> 'Chco•vneru([hepmmi�e.,is _-"' -_. ..'_'_ '_"_____"___ . <br /> Thc a�;enl is ______________ <br /> '_. _'___ '_""___"____' <br /> 'Phis :�pplicatinn.although siFned,shall uot Uc binding uP�:n thc City, until ac- <br /> ccpted hy'Phc SuP�rir.ie�dent uf thc Nnter,Uep rt e� <br /> Si�;ned,_"-.'",-,...f��'�-"-� 3."__-��".:_S1__-"'ApPlic:�nt <br /> � / <br /> p � ..�pl �- Lip.__ ___ . ._____" _ _. <br /> _ : <br /> AcrePt =d_"__'_'. �f ✓ , <br /> � _�, �.. .,. �,, <br />