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4 <br /> ��:- : y_ -�.: � f' nih 3_6-s.y9 - , . . <br /> w. n. Fo.�, � isoo a-i-n c.r. <br /> CITY OF EVERETT�=Water Department <br /> Applicatiori for Water <br /> All binnks mu�t be Iled in or cr , ed nuyt / <br /> / 'v <br /> Evemtl,..._ __ .' `-'-- �// <br /> '_'___ ' '. .."'...' ___'_'__19l?:'__' <br /> TO 1'HE SUPERINTENUIiN7•OR THE NATFR DEYAR7'MBNT, <br /> C17'Y:1F G'/GRETT: <br /> i here65'apply tnr ihe use o(water in nccnrd:mce wi[h tlm rules and rcgula� <br /> U�.ms o(The 1Vater Departm-nt, (nr purposes �md fixtures stated beln.v. <br /> Uuring Ihe time tha[ any ui Ihc�eatcr mains may be taken up hy reason o( <br /> any improvements au[hnrized bv the Ci�c n(Gverett,in or n( any slrcet nr nlley in <br /> �vhich they may h.ive been Iaid,lhe Cite ���i11 not he required[o (urni�h w•ater during <br /> the progress nf such imprnvements In�ny cnnsumer whose supplv mnY Ihus be cut <br /> nf(, or be liable for any dam;i¢es (or its lailure so ln dn. <br /> G"p <br /> Applirntion No.'�'d-/--� , <br /> _"__ <br /> Hlock _� "_ � ��- -.Lal'__�.`��- / / .1dd,[��_::��.""�f.t��' <br /> --'-' J <br /> -"-.. . <br /> Nn.____ . �_� ,.�t_ci.-�-�/ __� .___..SVicet <br /> i <br /> _ ' .__.'__"" '__' <br /> _' � <br /> .'__'.._"_ i <br /> """"' ' ""_"""__`""" <br /> ""_'�""'__.'__""'_'_'_" <br /> """"' <br /> 'fhe worA to be caeculed by'___'___". . , . . <br /> - "'-- '------' -'-'-4 0----`Plumber <br /> S1ate ze u(�ap. I• <br /> �-�__Tap to bc ins'erted in[he main. y{� � + � ���� <br /> -.-"�____lVatcrcloset � ' <br /> --'-'C'--IIath � � <br /> __ .._ -�-im.tt� <br /> �—'2_Plain fnucet insidc <br /> . .------___Sidrwalk-a�her <br /> -----�'_Hnse bib outside / <br /> �---------Hns�Litifoclwil�liuµ-}�u.��� '�: <br /> ._'___"_'EfuscLib�imtde � <br /> , Bi6-fwr-stabicr°ntT�nm��_._stnll.______ : . <br /> ___ 2__'_Nmnberof persuns in fatnily�_ (/ <br /> --`/-"'Number a(ronmt in building /f <br /> "1'hC premises arc tn be lised �s'a____r/r/�_'_� <br /> . .'.'....____ _ <br /> -"_ ____. <br /> 'fhe owner of the preiuises is .___�__`�^ • / '�`--- <br /> '___'_..__.'___ ' <br /> '___'"'___'_' . <br /> Thcagent is. '__'_'__' <br /> __. '_.__'______' ..._._._ <br /> � . __._'___._._____ <br /> This applica[ioq ahhough signed, shall not be bineling upon Ihe City, until ac- <br /> �•ptecl by The Superimendept u(the Wntrr Deparimen(. <br /> �l <br /> . SiKned_C��__. �, <br /> _"_ —' ---� App�cant <br /> �'''•' � �'o' 13y..�. , :� .__'_,- <br /> .,c _ .. _ r"'- r f . . .� <br /> - �- — -�!L %.�"' �t/ �.;(_J'-'$aCerlmendem / <br /> i � , : �' . i <br />