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,%-r��, .�- z { ,���f <br /> .,�,. °..�`��, . ���� � � ��� � • Water Department � <br /> Gl'�'Y OF EVERETT== <br /> Application for Water <br /> All 6lanks musl, dled in ur uossed nut , <br /> -..�z-'�� j - <br /> recrcu.-. - — - <br /> _---. --1�� . <br /> 'PU Tfiti SUPI�:RIV"CC\UIiNP `�'_�,t�)1 F`/GRi:I"p I'ARTb7F.NT. <br /> 1 here6y�PP�Y fuc the a;e u(o�ater in accunlanee�vith ihe nJes and reKul:r <br /> ti.�:i;nf '1'he 1Va[er Uap:vtm�•�t, for PurPoses and Gcn�res stated belma. <br /> DurinF 8ie time Ihat any oi lhr water mains m�r be taken uP by rcaem ot <br /> :un• imProvement� ;uLLhorize;l By tiir Cit• ut liverrtt.in or af :mc slreet ar nlley in <br /> the i rnFress�nf sur.hcim�rnvements a 1�`np.con�murr�rhme1 supply��ma)'�thus�6e�art <br /> oiL ur be liablc(ur nne dain'.�Sc+ 6vlr i[s failure so lo do. ... 1 ,. <br /> � O .�.__. • . � <br /> applicntionNu.__'�--' ___" + <br /> Add'_"_'_ ' <br /> __ <br /> S�.,U__ __ u __._.'___- <br /> Bluck .--_"-. ��� ..__...Strcet i . <br /> �'—----.. .-'--=---- <br /> \u._ "�1-'�O �- _- --'- <br /> - - <br /> - -- -- <br /> -- ---y- <br /> -- <br /> _. <br /> ..._.__' . _'_.-___.- ._" Plumber <br /> "_""' <br /> __'_ <br /> " 'f ' <br /> 'I'he W'��rk tn hc caccuMd hy.—'-- <br /> Stat•siae o( tap. � O (/ . <br /> �'?l..'PaP to bc in•�.rtcd in the main. — _ <br /> __'__/_'\V�tcrdnsct . ,� . � ":1i'� <br /> '_Ilatli ' `��a <br /> -- -- �-`�f ; ' ,� '� <br /> ._._'._ .Urinul � . .�•'!J I'!�'�� �\t <br /> . ._.-____Plnin (aucetinsidc �1 `,; ; ' . ) <br /> '_.-.. <br /> ._._'"'_'_Sidc walk�casher ,#lA;e F,` <br /> ,i.�yy. I q <br /> .____"_Husc bib uulsidc ! �&, .,. . . <br /> - - .��.,,,� ' . <br /> __'___._._Ilosc hib 6�rUuilding P�'P°'"s � ,. - <br /> _. _.__'_'Ilusc Uib inside Q � <br /> ..tall-_- '_'_ 6f <br /> ._"__-___Bib(or=tablc cmitnininB...___._-. - <br /> Numbcr o(Pcrsuns in fawily .� <br /> _..(�_Num6er u(ronms in building __... <br /> � 7._ ������/�_.`_._�_�_ <br /> 'PBc Premixs are to be used as a__.. ._--/I._�iZ / �'.'__'. <br /> �J� — <br /> '1'hcoancrntthcpremi=esis ._-G Z.li__"___ __________'-' <br /> Thcal:��' is ________ ���__ . ._ _._'. <br /> 9'his apPlicatinn.�Ilho �h signad.sliall n�t bc Uinding apo�� lhc City, untii ao <br /> cepmd b5'�fl�c SuPerintcndcnt ��(the 1Vnter UeP���uuent. <br /> . qpplicanc <br /> SiHned'_"'_"""_ <br /> '_'__'____ <br /> -__.'. _._.__..__.. <br /> __ ✓ <br /> . ..___.___.. <br /> __- <br /> ��� lg� Ily..;= - <br /> _""_"'"_ S�.r•iini.naem <br /> :�CCI'F)lC(�..= - - ' <br /> � <br />