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� _ _ _ " <br />i.� 15G0 J-I. I l C. P. ' _ <br />,ITY OF EVERETT==1Vater �ieparEment <br />App�icatian for Water <br />All bLmks nm=t bc lilled in or crncsed orl <br />r��eren. _. -- - �O- ----�--lsl3> . <br />'CU "CHE SUPI?RIVTEIiUIiN'I' OP'filE N.\'(�,IZ DIiPARTh11iKT. <br />CI'1'S OP I?VIiRE"PT: <br />I here65' :t9ply fnr the u.r o( walcr in :iccord:mce wi[h lhc rules and regula- <br />tinns of The Wa[er Departm �nt, fnr purpnses .md Gxturts stated belnw. <br />Durin� [he [ime that ane o( Ihe water mains ma}' 6c taken up by reaso�,i uf <br />;my imprnvemenls anthori>ed by the Cily n� I:vercil, in o� nl anY slreet nr alley in <br />which U�ey m�Y h:�ce been laid, the Cily �ciS nnt bc required lo fumish wreter during <br />the pro�;ress o( such improvemenls ta any consumer whuse c�pply maY Ih�is br rnt <br />nL. r,r bc liablc for:my yJa-m/:�gr; for its (ail�ve sn lo dn. <br />Applirnlion Nn._. /-`�_ s �l� <br />131ock . _LuL'� _..___A�Id <br />_______ ___ __ '_..' <br />�,,. 3�=/6 7d� -- s, , <br />"fheworklolieexecutrdby .._.____"'_ _ . __. _ 19umL�: <br />SLLLe size u( lap. <br />_���Cap la he inserlcd in the main. <br />_ / . \l';iter �Inset <br />. _.�_.B:ith <br />Urin�l <br />�� ��//�Jj <br />. V <br />. Pl:tin f:mrc: insidc . � :`.,. �._. <br />. . tiide walk e�ashrr �' i') ;_� �` <br />. _ � ❑asc bih outside �- �,,-, � �� �� � �-S' <br />� <br />"_____Iloscbihfnrbuildingpurposes �� .•y�,- � ,j <br />__ _'_'Ilnse Lih inside ' l//�/' ' <br />+ <br />____.__Iiib(orstablecontnining __.____._slall[.:�__'_ \�� <br />\ <br />_ _ Num6er of persuns- in (amily \. � <br />. '-�'Nunt6er u( rnnm} in huilding .. �� � <br />'fhrpremiscsaretnbeuseCas:� __%._._ ..'._. ._ . _ _ .._._. <br />l.'�.r ���vner o( [he Prernises is __. _�. t�� —� <br />lcaCentis..""_"'."_ -___"__"'_" "__ ".'_'_"'_'_' . .__'..."._ <br />;:ipplicalion. ��IdlonKli signed, shall not he binding upnn the l'ily, ❑ntil ao <br />-.,y The Superimendenl �d the 1Vi,ter Uc rtr-yucnL .���ry �,y� <br />����//--j��//v L'J <br />���P� `�^— / <br />Signed____ .. ' Apllicant <br />_ _ . _ .J_._____ <br />:�, �� . �_ �, �,vr <br />_ - _ ----- - <br />.�.1�'ffliti[IIC[tl� <br />., <br />� <br />