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....�.F,rm.. !SLOlI-I]C.P. <br />CITY OF EVERETT==11�ater Departntent <br />Ap�plicatiorn f�r ��a�er <br />.-AII blanl:s umsl be �illed in nr crnssed nut <br />U � � .. <br />I�;errrn, _. _ __�_ ._��__. 19� v <br />� <br />"fU 7'H1: SUPF.KIVTE\Uli\"1' OF'� I!i �1'ATIiR UIiN:11<TAII±NT. <br />l` .. . UF Ii'/ERE'fT: <br />I hrreby applY (��r du� use n( �caler in accordanie with the rulec and rrpula- <br />c.��u u( 7'he 1Vater Departm •nL (or purpn;es and lisuuc> stated bcinw. <br />UurinlL lhe time Iha[ :my nl �Lr watrr mains mnr be taken up by reason ui <br />:my imprnvementn aulhnrized bc tiic l'ity u( Gcereit. in ur n( any sirerl nr alley in <br />•.eiiich Ihey ntac h;rve bcen h�id. the Cily will not be rcquirrd �o fu�'nisJ� �cater durir.r <br />the prq�ress nt sueh improvement� iu any cunsumer �ch�ni� -�q,plc n�.���.- �hu� !.� r�.� <br />nfL ur bc liviblc fur any danriges (nr it� tailure so to dn. � . <br />� � <br />Applicntion Nu..""'���" "__ �� <br />liluck _/_y_.�_. Lot.._ �����i— // _AL''. <br />XiE. �f9�/�__ ��A-cf _ _ - Gi�iri <br />'fhe�curktuhercec�rtedbt'__/ .._..___ .. .�. . .����Plumber <br />ti�atc 'r.e u( It�p. <br />� �'''_ fap ta bc ins'ertcd in thc mnin. <br />.. . _ �....R':�tcr daset <br />/. .Rath <br />Ilrinal <br />.__ Plain(nucetinsidr <br />. _'_Sidc �salk washer <br />.._Ilnsc bib outside <br />.. Ilusi� bib (or buildin�; purpnccs <br />. _ _.. Hosc bib inside <br />_____l3iLfurstablcrontaining___ .____ <br />Numbcr a( persuns in familc <br />... . �Numbcr n( ronms in building <br />9'he premises are [0 6e usrd �s'� <br />yL.O, v,��� <br />� v—___�.. <br />/ <br />�� � <br />�l – �— <br />stall___" ____ ._ <br />. . ...._.. _"__'___'__"""""""""_' _'_"' <br />� "fhe no'ner uf Ihe prrmices is ' _ _' _... _. __ _ _ <br />. . _ .__""'___'_.___"'__'_' <br />"PhcaRenlis ___ .__ ___ __""__'_'_'_... <br />7'his :ipplieatiun. allhuuKh signed, shail not bc binding upnn Ihc Ciq•. until ao- <br />�cDr� I by "Phe 5uperimcndrnt u( tLc R'n�cr Ucparlment. <br />SiNtted .Q��-':°Gt�C%i��a� .... APPlican� <br />:lrcupted.�'> 1 Bc ,,,((( .�_'___'_ '` <br />/" / � �,..,O . . . �.�r.iim��t��._. <br />/7/ <br />� <br />