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C-.n'� fr�s7-�-v -�i . ,.i-� 7 . -i5 _- <br />- . � , <br />N'. �. Fmm � isco �-i-nc.r-. <br />CIT`-.' OF EVERETi'==Water Department <br />Application for Water <br />:\il 6lanks must bc fiiled in or crassed ou�� <br />livcrelt. . _ //��. _ _ 19Y -� <br />.I..) 7'Hli SUPIiRIN"PF:NUIiN"1' OP'I'lIG NATHR DIiP:1HTil11iN'1'. <br />CffY UI> Ii7ERETT: <br />1 hereby aPPly (oi the use uf �vat�,r in necurd:ma �cith the rules and rrgula� <br />ti�.�ns n! "Che 1V:�[er Uzp:�rtmrnt, fur purpases :md fistures slated below. <br />UurinK thc time that any uf thr water mains may be' taken up 6y rcasun o( <br />n:ic imUruvements authorized b�� the Cit>• nf L•'verett. in or ot :my slrect or allep in <br />m4ich Uiey nmY havc been laid. ihc City �cill nnl be required to lurnish �cnter Jurinr <br />�hr pro�rrss o( such improrenunl� W any eunsumer �chnse supph• may ihus be ..t <br />nIL nn c� liablc (nr an``p''��d%a�m/a�cs tor it� L�ilurv su lo do. <br />:\pplitnlinn i)o.__/__J._y'�_'_' � <br />�✓ / <br />RIucA __�O �I �- Loi'__'s'_'____Add. . <br />� /—� -_ .... _ . _. <br />Ko... _ � . �_ . �� _ .',�'L! O'!=-ti-�_ .' _ _ _ _ St rert <br />_____.. _________._ . _________ _ ____"�. /. �_. _.___.__._._..._.__.__. <br />'I'hea�urktuberse��Wrdby __ `+ �_�' . _____ i'lumber <br />� � <br />tit.i;c ize n( lap. <br />� �. <br />. �" __'Pnp to bc insrrtcd in �Lc main. <br />r <br />.__... �..�1'aterdn.ct _ <br />._.__�...I3atL �- ' . <br />.._____ .Urinal .YI <br />.'__ __.I'I:�in f:mcct inside �,� <br />_.-___Sidc w�alk ���nshrr ' <br />_ _ _ .. Husc bib oulsidc . � <br />. .. _ _"Ilosc bib fur builJin� pm'puses <br />_ _ _' Hos-c bib insidc <br />. _ _"'."'Hib for stablc conlaininH _ .... . <br />. _ __ .. .Numbcr u( persuns in tamily <br />s N I• f l i' <br />..-------' umnrn n�umsmbwcmR 7 <br />'1'he premisrs are tu be used as a _.... . _ _�.-C.C_ �. _ .. _ . _ <br />.._..._... .._.. <br />'I'hr ue•ner ul the prentises is ."'!!L .,!� �Z-Z' . <br />...... .........__. _____'.. _.. <br />'1'hc n�;enl is ""__ ' '__ "_"""_'`" . -. <br />...._.'.._ .____. <br />This appli:aliun, alihough signed. shall nul br binding upnn thc Cily, imtil :�o <br />. cptcJ by "Phe 5; erimcndent u( Ihe R'nte�' Drparlment. <br />� <br />.,iKne�� --------�--._ . ._.. ---�---�- --- A innt <br />- ----- rvi . <br />r- �,��,�/ �% ' _ nn/ / <br />:\ccepted..%' .—���1._ . Ry..Y7i.ir�a.<-.�,e"_. C� <br />_ -�+"f r�C �_ / <br />� / �, � s��.n������.�� - �(/ <br />���iX�_i'� <br />