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i`4 .-Tl � � `f - �- J ` <br />. ._ . i. <i 1 "-/ i . . � <br />Vi.:�. �on�,�� 1 ILCO d-I-I]C.P. <br />C{TY OF EVF�i:TT===Water Department <br />Ag�plicatioa� for �Vater <br />All blanks must be filled in or crasse�y,ut <br />_ --p- \// �)fj <br />Everet[..._ � �a—�L _____.____]y.fr�___ <br />TO'CHE SUPI?RINTENDI?N'I' �/IkiG 1VATEli llGPARTNEN7', <br />/( 9`fY OG E9rRi;'f2: <br />� : eb;' npply (or the use u( waler in accnrd:mce with lhe rules �nd reK��la� <br />tions nf i lm lvat^r Uzpar�mant, for purposes and fistures sta[ed 6elow. <br />7ur.ng th^ timo that nny of the water mains may 6e taken up by renson uf <br />:mg improvemen[s au[horized bc lhe City o( Evcrclt. in ur o( nnY sircel or allc}' in <br />which [hey r:ay hav;: been laid, thc Ciry will not bc required to lurnish water during <br />the prn�ress o( such enprovemenls to any consumer x�hnse supply may thus be cut <br />��(4 ��r be liable (or:my damaKas L�r ils failurt so to do. <br />ApPlirntinr Dia.____f � 7/_____� <br />131nc1c ___. �_Q_ - _Lul'___"S5 �' %_'__Add ��" ._ . , <br />� L� Q <br />Nn.__^� X �-� � _-�-Gx.._..Y_.'( _ �:__..Strecl <br />__'_._. . __. . "_'__'_'_ _'__'__"' <br />_'__'_'___"_' "' <br />'fhewerkr���e.�YecutedUp. ______.._ Plumbe� <br />.____.______... _ _.__.__.._._ <br />S�nte,,r...�, t �/ <br />/�•� �� fi .� O) O G <br />. ... ., re inser'ac: 6� ti�e main. � <br />. - . - - "l� _ _ 1V.�t�r clos< < <br />-_.._�__Ifatt� <br />..... i)ri�m�—' <br />- _._�...Pl:dn fau::ct insidc <br />.- ._-.�idn-wx!k-xnhcr <br />_ .. _ _� _ Ilusc bib aulsidc r� <br />_ _ _ . _ 1{oeebiU'fniYAii mA piTd` irposes <br />*: <br />- _ _ _. _ _ Idu.:e-F�ih-insidr— .. <br />' _" _' .I1'h o . �r,lilect�nteirtinF . : _ _ _ -_-- _.y;i{I _' _ . .. _ �' <br />i� <br />.. a'/ ._. Nm��bcr n! perscros in tamily <br />---' L?,__\•�ni6er u( mums in building � <br />7'he premises :ae to bc used as n._____.�-C� 1' �< <br />%) , �-�___ _ .._ <br />7'he nwner u[ lhc premi;es is _=Ih�1___ J/�Q�a�e...t .��� ��p—�i,,� <br />Thcagentis______ � <br />_ _____.______ ._._____..__'__ <br />'1'his applicatiun, alihm�gh signed, sh:Jl not be binding upon Ihe Cil)', until ac� <br />�ed bp Thc Supurin�endent of the W:rter Departn ent. <br />� - � �/ <br />ji�;nrd..�//'✓J._�%)/1-f<' __"f�`�¢�7�C-!/j_'__Applicant <br />eJ t� _"_ I 13v _ . <br />- /l/�-��� ��: _ _' .: <br />'_ <br />;. <br />_' "--Sn�c�ini.n.iem r`' <br />