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,-�rr.� ��_,-,_ _ _ <br />\4.GFmma ICrO.�-:-I]GF. � " <br />CITY OF E�VERETT==Water Departine�i�t <br />i��apYicatiaaz ior �e�Vater <br />All blanks must br GII 1 in nr crnz .��uu[ <br />_ _- � ? �:l,� � <br />r•.verc�L� -- -'-l-`�=�— - ----_ .Lr�"�. <br />r�, rin�: suri:ki�i•r�ui•::vr or• ri��: w,�•riae ue��nx•r:��r:n�r. <br />crrr or r�naacrr: <br />1 hereb)' apply fur Ihe use u( �cav.r in accurdance with the rulex and re�;'�la� <br />•; �ns uf "1'he Atiuter I)epnr�ment, fnr pmpnscx and fixtt�res s�nted heluw. <br />DnriuK Ihc timc 16a[ auy u( thr �,catcr maius nr,n� 6e tal:cn uP 65' rea=un o( <br />:i:i�� iinproeem�.nts authurized by the Gn� n( lirerctt, in ur o( any sireet ur allrc in <br />nhith [hey may hnve been laid. thu Cilp �rill nut be required to (urnich water duYin� <br />Ihe pragress of sueh intprovemenls lu any cunsumer �chuse supply� map Ihus hr � u� <br />�.�. nn c� liablc fnr am� damagips (ur its iailure so to dn. <br />:APpliatlion No.._ ��%_ . /_�-�__. . <br />F7 � <br />RIncA --`�----._ .._._Lot- �------�-��-�-----.1dd . � � � � � <br />_'__ <br />L+' i _ <br />\n._,�_1_/D-'---��f`-�.� - ------- strret <br />. ____ .�______ _ ________.__-�__.._._. ...._ .._____._..___.. <br />'Phea�orktobecxcrutrdbc_...."_____'___.' __._"__..'_"__"Plumbcr <br />Stale izr u( lap. <br />.-���_T:ip to be inserted in the main. <br />_.. _ �. __\l':ncr closrt <br />... . � . _ P�alh <br />... _ .Urinal <br />.... ..Plain fautct insidc <br />. . _ _ _Side �sall< w'asher <br />���-�i–/ <br />IY� �)� u� CJ—e- i <br />/�-J �' <br />� <br />- .-- __Ilnsc bib nulside <br />.: <br />. .'-_.. _liusc bib fnrbuildinri P���P,":� �; .'4 <br />� ' L <br />.....__Flosc Lib in.idc <br />_'___'_Ilib(nrslablccontaininp ._..___.....tall_ __ ' • :� . <br />_. "_Numbrr of persuns in familp �' . _ . "�. '' ' <br />C� ) <br />.__ ___Numbcr u( rnonn in building �_. t• <br />'I�hepremisesaretoheusrdasa'_._.__'___'_'._."'..'_""_'_""_' ""_. <br />"1'heu�vnernfthepremisesis___"""___'._..._. _. ._""""_"'_"_' <br />IYf1RlR/ESf�E <br />ii <br />.. ..... .. . ...""________"__' '__'_' ______"'__ "__"'__"__-_ <br />.•�:m. aldiuuF:h signcd, shall not bc binJin�; cpnn thc Ciq�, wuil ao <br />'rni c�• ihe 1Ymer Depnrtj� rnL .� : <br />." � � •//.7 � �� <br />�--/�l,.,/� �',i'. . pLcnnl <br />I " / / �' �,•� <br />s, <br />