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��,� s-rv-- <br />r�..�;`.i � - . , - <br />W L F'crm � ISCO �-I-17 C. P. <br />ClTY OF EVERETT�=Water Department <br />A�plic�►tion for Water <br />All blank:� must bc filled in or crnssrd nu � <br />L•'vcrcll. _�_'�/,_ .."__.__197.%�.. <br />"f0'PHESUPGRINfIiNDENTOF"PHC.W. iRUEI'ART�IGNT, <br />CI'I'l' OP 6t'rRETT: <br />I hrreby apply fnr the use o( ��'aeer in ncc��rdance x�ith tl:e nJes and reguln- <br />tinns uf 7'he \Vater Utpnrlm.nt. (nr P��rpnccs nnd lixtwrs st�ted 6dnw. <br />Unrin� lhe lime Iha� any �d ihe �vater mains may hr taken up by �eason o( <br />:my intprovements aulhorizrA 6c the l.ny a( livere�l. in ur u( :m> sl�cel �n flI1eY in <br />which they mny h�rve Aeen laid, ihe lity will not bc rcquired to furnish w�:�ter during <br />dw Progress of such improvcme�ts tn anp cunsumer wLnse supply may thus be cut <br />nlf. or be linble for . m• c1am:�Kes tur its failure so ln do. <br />i ,/ <br />e\pplicn[ion N�t"",Y� . '"""'----� �� !] � ^•.l <br />.._.�1N � `_ <br />Rlock . �� /��,J -- Lo�_�� ._Y___�_ ._Add..__ ___ . <br />Nn._�-`� i � '. __'_"""' Slreei <br />% �.G�u�� <br />._._._-_..._..._ <br />. __'____... -_.__.__-.____'__.___'_ <br />"fhcworktobcexecutcdby ._ .---__'__'__ ._ --__--'__.__._____ Plumbcr <br />S101c <ite o! tep. <br />/!.-' Cap to Uc in�crtcd in thc ntain. � <br />"""' ���J _ <br />- L. w,«<<i��.�� <br />L—.�3au, � '. �- <br />— — .u���,:,� ; t,-' ; - <br />F <br />. ___' _"Plain fauce� insidc � �/�'� � +' <br />__Sidc�valkwashcr �� ��'J'l �^^� <br />_ _' "'_H��sebiboWsiJc �, ' , �' . <br />_'Hosc bib fnr huilding P��rpases � � c� ' <br />- -- �� t �� � <br />'_Hos�bibinsidc `. � .. <br />.___'_'.[3ibGxsta6lec ntaining.._.-_... stall.._ -�-_ _ . .. , <br />'_' '_"'Numhrr of Pcrson. in familY . - .. <br />. _ �...Num6cr uf runm� in huilding <br />The rrmise.n�'etobeused:ua_...- '-_-'-_'___._ ..... .'--.-_.' --._ <br />fheu•,:neroftheDrcmi�esis __._.__"__'____ . . ___ ._----__'__' <br />"fheaKentiti ___._'__"' __"_"_._. ... ._ _-' _'_'_"._'_""_ <br />L•is appli�ation. althouKh siRned, sh:�ll nnt bc binJing upun ihc Ciq', until eo <br />��cd by The SuPerinicndent nf �he R'ny�' Uepartmenl. <br />% .�� � <br />SiRned__!h._�C�(i%!LFf... Ap icant <br />-'.eecpted �" _ _� _19yS/ liy. _ _' _'`a,. <br />� .G�, Q/� -�� - - - _,.,<<Gi:�,::�-.� , <br />� � <br />