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F.6.'I._ . . . . _- � � . <br /> t <br /> ... v. Fcrm 4 ISOf ]-I-V C.P. <br /> CITV OF EVERETT==VVater Departinent <br /> Appli�ataon fo�� W�►ter <br /> All blunlcs nmst b j(Iled in o�crosse�++� <br /> __��� �- �� <br /> r•.��«,�. ------ - -- - <br /> "fn '1'I(E SUPIiHINT12NUliN"f Of '1'II8 \VA1'IiR DIiPARTMEN7', <br /> CI'I'1'OP G�JF.RETT: <br /> I hen•6y apply (ur Ihe use o(water in accordance with the r�les and reF��la� <br /> .��,i:,.d'Ch^ \Vater D�p:�rtm�nt, fur P��r,x�seg and fixtures stated be;a�v. <br /> U:vicR lhe lime Iha[ anY��I lhe �'atvr mains' m:q'be lalcen up 6y reasun o( <br /> ��i��� i.:npruvemcnls authurized by llie Gtv of Lcerrtl.in or of auy strcet or a?lep in <br /> :c''�ii.h [hey m'i1' hnac beeu laid. the Ci�7 ��'ill nnt be requirrd lo(urni�;h wale� umin� <br /> the Pru-,re:s nf such impravemenls ta anY consumer whnse supplc may Ihrs be r:rt <br /> �of, ur 6u li:iblc[or:my damn �_ �r its failure so tn dn. <br /> ���.� - - � <br /> .\pplic�Jiun gN�� __"'"_" - . <br /> RI __✓r/ 7� lu� .'. _ ✓Y .'✓�l- -Add .... . .... .. .... <br /> ___. <br /> \ . ./, O_��� ..i�_' ' . _ "'_..Strcet <br /> .. . . .. .J- � -- .. ____"__"__'"'____""_'"_"-_ <br /> _""""_ <br /> "_.. <br /> 'I'he �cnrk ln I�e eseculed bp . .____""'_ . __-_ <br /> __. .. ._.__., Plumhrr <br /> titate ci.e a�tap. <br /> ly � /�� `` <br /> __7`.ip K�bc in.i•rted in tl�c main. �- <br /> � �7ater du�rt <br /> �_ Ralh <br /> Urinal <br /> __!...Plain (aurct insidc <br /> ___'_'_Side-i�fl:tiasT.�� <br /> ._. _/_._Hosc bib uulside <br /> ...._.�i �•_I�ib-lnrHeikliny,^7nr*p�c�' <br /> _ll�µa-�ibtier+idc <br /> ..Jiib-h�rsnUccou amm1:............sl;�li..__--..-�i <br /> _.._ �, <br /> __ -Numhrr o(persons in (amily L <br /> S__Num6cr n(rnum�in huilding <br /> f__ _—�..__ .. <br /> 'Phe Pramises are to he used as n_. '__ �.___.. _- _-_ <br /> �������____.._"' <br /> '1'he uwner nf Ihe pramises is ____ -4i-:- <br /> • . ___. .'__. _. _.___. ._. <br /> PhcaKenlis' .._ . . ---.___..._. . . . _ <br /> !�his :ipplira.ion, althuu�;h .i�,ned.shall nal bc Uinning upun lhr City. until ac� <br /> ..i by "Chc Superinte�de/nt�a�f��he Wnter Uep�rt� { <br /> SiFned GI/G'� ���<iLWi-�!r-j%�.�.-APPlicant <br /> _.__'_.__� __ . , <br /> � � <br /> . . _�-• .i %, �. <br /> �,�;�•a ��- � --:_�af3 it� _.�-- �-- •:- -- -- — <br /> .✓,ri�, _...__..,.+�i:.i�,na� <br />