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� <br />.'-�e% i � i � � l. f.. �P_u_ ._� _ )� „ Pr. <br />Nl D. Fr.rn: �—liop--1 .i`.t o. g._f .i <br />City of Everett�Water Depai�tment <br />APPLICAaTION FO�? WAT i R <br />:1!1 Ul:ml:s mus.t Le fiiled in or crossed out <br />li�•crett� ... ..........__...............J/�_. ....._... . . ..........Inp�... <br />l'O TIIL? SUPI?I;NTL'HUENT Oi�` TII1: A�'pTRR UE{'AI;TBili1T: <br />CITY OR liVGF;13TT: <br />I hc�ehy nnp;}' ior the usc uC tanter in acem�d:mee tcith the rtiles and tegu- <br />IaLions o[ the �\'ater Deparhneni, [or pm�pu=es nnd ix'ures- ,taied bdotc. <br />Du •ing thc time thnt nuy a[ }hc �avtcr m:iias mnv Lc t:iken up Up renson <br />oC nny im�n�ovements nulhorized by thc Citp of �corc[t, in or if nny etrcel or <br />:�llry in ahich q�ey may hace lmcu Inid, the City ��•ill nul. be r.�quired to fm•nish <br />�c�:tcr durin,� ihc p�rogress of such impro�•em_�n(s to nny' consumcr �cirosc suppl}• <br />m:i}' ll:us Li� cut off, nr fic 6ablc Cor :i»y :lnm:igcs f�r its f;iilure su to d��. <br />Applicatmn Ku..__. �� � O <br />/ ..... ..... <br />QIoc6.... ..( � ��7 . I at �..��' �" _ .. Add... ... <br />_ 026 .p ��L6-h�l�n- _.._ .... _ . . . _. .._.. ._. <br />Vu.... . O i <br />. ............. .. S tre c t <br />. ...___. _ ... ............. . .._ � <br />........ .. ...._.. ._ _...... ...... . <br />Tiie �rorl to br exeeuted by. _ ... � _ . .. .. ..Plumber <br />Stnte sizc ot tnp. <br />.�%:..�.�..Tap to be inscrted in lhe mnin. n„ w � <br />_.......-.-..{��ntcr elnset � �r�Ll <br />S �i � <br />......—...Bnth I „� <br />. .....'--...Urinnl j . <br />, <br />-..-��Plnin f:mcet insidc <br />_._._—..Side «'al!: �vnsher <br />- �..—.Hose UiU uuto-idc j (""� '" <br />/ � � <br />- _.,�Ilosc biL fur bni:ding purpo v� �'`: � , � �� � .., <br />..._—_Ilosc bib in.,�de . � <br />1:,�: - �..,_i� <br />..���-�"---CBib fnr stable cuntnining ...... .... ...=tnll...:.,,...;-. . . . �- <br />C����Lr ,_�...,_�r �rrt......._. � <br />.........—:Kl7nt6et uf persons in family <br />hi : ." .............. .... .../..�... ............. .... <br />....--7.....Numbcr of romus in building �. [ <br />Thc premi=es nrc tu be used as a.. �! IX-iC_ <br />'!'he o�cner of thc Pre� nses is..�. L{ , ......... ....... <br />° ngent is .. .... .. ....... .... <br />.._ _ . .. . ..... � ..._.. <br />' apPLcation, nithou�h si�ued, shnll nnt. be Uinding upon tl�c it �, until <br />J bp th � Superinl dcnC uf thc AVntcr Depnrtment. <br />S - <br />9i6ne�3 ..-i��� � _....... � � <br />. .. � /,rA� licnnt <br />/ ..... �. ` � -.. <br />�J _ .._J .. . � . . 19�. . II , ._.: � "� . .. . ` <br />_� - pc�rinlendent... <br />