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' •. .. �!-^f"%� r_''-!1 i�' <br />k'. 0. Fwm � i500 J-b� -�' -,' �! '//� i- <br />) C. P. <br />CITY OF EVCRETT==1Vater Departme��� <br />Applicatiora. f�r Water <br />e\II binnks nms� bc filled in or trossed oul <br />Iircrc�6 .-__'___'�'�?�L_ -/(�'__19]_. <br />TU l 4H SUPIiR1YTEND1iN'1' (11� "Pllli IVATIiR GICPr�iL'N�1', <br />CI'!}' ��F IiYliHG7'T: <br />1 hrreby applp fur thc nsc u( �caler in :iccurdancc o�ilh the rules and reKula- <br />t inn: ��. 7'he 11'nler IL�nvtm �nt. fur putpuses and listurc. slateJ bclow. <br />Uurinti �he tinte �hal nn�� 01 thi� �c�ler mains mav br taLen up Iry reason of <br />:my impnwc;nenls auWurized Lc Ihr City �d licereit. in or o( ang slreet nr all� q in <br />�.chich they m:�o have b¢en I:iid. �iie �ih� will nol be required tn furni�h u��ter durin{; <br />Ihr �vri4rec; ��! wu�h impmruments t�i anc <onsumer x�hoce supply may Ihus 6e cut <br />,�:i. ur bc liablc (ur any Janripcs (or iR L�ilure so tn dn. <br />Applirntian Na."'-_ 7�/ �" � "q_" <br />131uck _� �__/ -_ ..I.�rt..�(__ _�—� ._Add. .. �i� � / <br />_ / _'__ � - . <br />\n._.�.2.��C� / . <br />. _�...�.��,�i�-�e_-..sue�� G <br />._...... .__ . <br />__ -'_ O-� <br />' __'___"'__' <br />"_'_"_ <br />"'_' <br />"1'he e�nrk to be esecirtrd 6y..___ tC-Q.stt�� .. <br />-"""-'--� flumbcr <br />'_'_'_'_'_' <br />, <br />4aic sizc nf lap. � �/ <br />.j2 "_'fap lu be inserted in �he main. "�'� <br />--'�"_1V:�icrdnsel .. �� ��V�,:•. <br />._._�_.l3alh :-i �"a'��.-.. t�.: <br />�` � ��11 ����{ . <br />u���„i <br />. _ . _ _Plain fauret insidc 1 <br />.. _..Sidc �v�lk �va.licr � If �� <br />��i.t, hl� ; <br />-... ..._IloseLiboutsidc � . ., <br />-- .__HosebibfnrhuilJingpurpuses P��=-' ��: �� <br />! `,'' . <br />. . - -"'.Ilnsc bib iusidc �" tET_, i � ..• <br />R <br />-"-__"13ib(nrstablrconlaininA__'__'_ _�tall_ -'�,_., <br />_ <br />�% __Numbero( p�rsunv in t:�mil�• <br />_ 7>_'-'Nuni6cr nf runms in builJing <br />"I'he premisca are to be usrd as a' __'_"_ <br />" __' <br />..._._ .-_'_' <br />_ '__'_ <br />ie owner ul O�c premi=es i:. -""' <br />'_""_'.... <br />_ '___'___"_"'_ <br />""' _' _ <br />tc aRcn� is ."_"_'_'.. <br />. .'"'""'_""'"" ' _ <br />This appli.•ntion. although sigi�ed. sh:ill �.m; Lc Aindir.g upnn thc Ci13', unlil ao <br />rcpled hy The Siip�rinlendcnl �.( Ihn-{C�ter Dc n�tmrn <br />,. � <br />� <br />s�,,,,�a _ - G , � � <br />/ / .-_ _-_: _ ... _ . . ___._. _.Appiicant / <br />:lcc-�pir�i;(.. _ �.�p. � 1o1L7 B�Ii' � ( <br />u _ ._ <br />i -��- .... ._ ..._ ... <br />.. �.�.i,��:�,. i <br />