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� <br />� . � r r- ��� �„ ,�,. , , , , . <br />,,, -.F�„�.. �����_�.���.��. <br />CITV OF EVERETT==P'ater Department <br />.r�g�plication for VWater <br />:111 btr�nk� must 6c titled in ��r � rnssrn „ui <br />—_-- : <br />' � <br />6rcrett. _ _ _-______ "'_y�' '�'_-'_ . 1P�'-�i <br />Tf) 'PHE SUI'F.RIN7'IiNDF.!N'I' OF "1'illi NA7'ER UEPAKTMG7�T. <br />CI'P\' OP G713RC7'T: <br />I hrreby ;�pyly inr Ihi� nse n( water in nceurlanrc with the ndes and r�gula� <br />ti��n; n('Phc lV:itcr U-pa:[�n �ui. for purP.�`«; and �ixlw'es tir,ted beluw. <br />DurinR [he timr ih;u :in�' n( Ihe n':�trr nmiris may he taken up bp reason n( <br />anp imPmve�nents authorized Lc liir Ciiy' �d Evercll. in ur nf :iny sVice� a� alle)' in <br />�vhich thry mny havr been laid. thr Ci�c H•ill no[ be required ro lurnish waler durin�; <br />the prugre�s n( such imPrnvements to :my consumer �chnse suppic ma}� Ihus be � ut <br />nIL ur bc Iiablc for anY damatics fnr it. failurr vo to dn. <br />Applirntinn N ... _. - Q O � ( � �� <br />�.... U.. � � <br />Rluck -�/�. �_ .__Lot. .._' f-'_ _"'___ Add N.G •.V `�-�• <br />Sn..._!/ � -z>� ..�F.-�, <br />'_ __._ .Strcet <br />_. ... _'_... ...._. . _..._'_ ._ ._' '_ ._/__.__..._____. ""__ '-__ <br />'PLewurk�nbeexenrtedb7' ".-_'___'=.L{ ..... �.__. _.-...._ Plumbcr <br />( / <br />St;�te ze �rf Inp. ' � ' <br />/ ' <br />_�-_-Tap tn bc insrrted in thc main. <br />� � Na�er dnset / - �— �� <br />— � �— �� i.., <br />._ _ _ � _. liath <br />. . 1.� _ .Ilrinal <br />i_ . Pl�in (iuret insiJe <br />l __Sidc �valk u•asher <br />- . ,�'. - � . .. Hcse 6ib ouleide i <br />__�''_ ___Hose bib (urbuilJing pur��ses i <br />% _'_.Hnsc bib inside . <br />� �. _ <br />.._"__Bib (or sL�ble containing.-_".. . _. .stall_. . .. <br />. L_ I�uciber nf pennns- in family. <br />�.___Number of runms in buildinR � <br />'Che premises are to 6e used as a _ _ . S!`�.' A .. . _ . _ _ _ . . _ _ _ _ _ _.. <br />i� . <br />'fhe owner n( the premises is .,CFi.S:I"/��: �[.L<._._-_. "'_"...._ <br />�.ragentis ______._._...._..__.._.�-c_ . . __..___'__ .. .__._'__' <br />Th„ :ipplicatiun, alihough signed, sh:dl not 6c binding upnn [he City, until ac <br />h�' Thr Superinlcndenl o( �he Wntrr Ueparlment <br />_% / . �/� / .� <br />Si�;ned�`;:�4.2'�.�JZ-��._ ' Ot�1�r�<__Applicant <br />- .�.�i %'-2�:1'9�� �s �' �<�� --- — <br />. r - ��, 1�.-'%-?_::��r..i���.��.�� <br />L- <br />