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�. , . �/V7b 9-•�-i c r�r <br />H'. D. F,nrt � ILGO d-I. I7 C. P. <br />CITY OF EVERETT�=Water Department <br />Application for Water <br />:\II Irlanks ntusl 6c filled in nr crns.vcd nut /r <br />P.vcrrli. _'.__'_"_ /1��V_"'. '_-"' --'191 V��_. <br />"I'U '1'HE SUPIiRINTF.NUIiN"1' OP'PHG NA'PER Ulil'ANTMIiN'1'. <br />CI"I'1' OP IiVliNliTT: <br />1 hereby apply fnr ihe use uf a•ater in acrnrdance wilh the rules and regul:r <br />�inm uf 1'he Water Utparhn_n[. (nr pw'pnscs and fixtures sialed belnx•. <br />Dw'inR lhe linte Iha1 nn)' of ihr wati•r maina ma7� br taAen up tY rcae,on of <br />:my iinprnvrmcnts authoriud b>• thr Ciiy nf Evcrrtt. in nr nf nnS slrec� n� allc)' in <br />mhir.h Ihcy m.ry havc 6ecn laid, lhc L'iq ��'ill nnt bc required lo IurnisL w:�tcr durin{; <br />the pm�ress o( euth impmvemenis tn :uq' cnn�umrr u huse supply may :hus be ruc <br />�.�R. nr 6c linblc for anS /JamaNcsq fuQr iL (aiiw'r <o In Ju. <br />r\PPlicnlinn Nn.'_�`�_ �"y'_`.'_.'___ <br />i C' _ <br />BLrck ,-q'.'��'�/'-' ''.I_ __Lol.'_(rz___�_�'_____.Add . _ _._ . <br />\u... _.�-'I.Fnll- .�l ���J�Jq,�"����. u!X'--""""_..S�reel <br />J IJ <br />'Phe aurk to be esenileJ bc . _' _ "'.. _ .. _ . _. _ . . . _ Piumbrr <br />tit�le siac uf laP. <br />.�7�_"Cap to be invcAeJ in Ihe main. <br />./___Waicr rinsc� ° <br />ci <br />_._�-_IlatL � y' <br />_ _ or�„�i �y , �'�� . <br />..___Pl�in fnucc; inside . ,vt f �;y., <br />: `,i � ..__ . <br />....._Sidr w�alk washcr <br />� ._ '_._ __Iluse 6ib nntside <br />� . _ _ _ _. _..liose bib far building purp;,ses <br />� _. __.Hosc6ibinsidc <br />\ .__"."_BibfnrsWblcconlainicp._'___ <br />_. S _Nmnbcro( pars� ns in kn��.il'i <br />_.. `V ^_ _'Numbcr n( ronm� in building <br />(�."' <br />l'heprrmisc.arelubeusedasa_______.._: �Z` ��+�'"'__' <br />"Phe o�vncr �f Ihc premiscs is __." ___'. _ _ .. __". . _ <br />"�hcaHentis.'__' ....... ......'__'___._'_ .__"__"". <br />'fhis aypliratinn. although s�tined. zhall nu� h�� binding �qrm Ihr 1i1�. until ar� <br />cepted 6y 1'he Supe�Ner.de�t nf Hn 1Snler Urpar ent. <br />���.. �.i��;',ri! <br />;nrl ( ��r t �..G��•,�%JUJI%+l..'__Applicant , <br />�° , l <br />_ - _ ._ <br />.,�,,��.,., <br />