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' . .. �. ... . '.I "-� <br />N'.].Fcrmt Il003-LI]C.P. <br />CITY OF EVERETI'==Nater Department <br />Application for Water <br />All blanks mu��t be filled � or crnssed ��ut , <br />4F'//O <br />Evcrelt,__-_.. _./.:___..._".'-"__'_'_.__.191.'�.-_ <br />TU 'CHE SUPIiRINTENDF.N7' O� T11E WATER DEPARTTIENT, <br />❑"I'Y OF EVERET7': <br />i heret�y apply (or the use n( w'ater in acmrdance ��'ith t6e rules and regula� <br />tinns nf The �Vater Deparun:'nt, fur purposrs and fixlurc; stateel bdon'. <br />Uuring thc time that �m)' nf the w:LLer mains ma)• be Nken up by rea�ero o( <br />any imprnvements nuthorized by thc City u( Evemtt. in or of anY strcet ur alicY in <br />�rhich they mxg hsve been Inid, thc City will not 6c rcynircd in furnish water during <br />�he progress o( suct� impmvemenls lu nn)' cnnsumer ��'hase supp�)' �nay thus he cut <br />,�i(. nr bc liablc for anY d:�/mages Gir its failure su lu dn. <br />Applitntinn No... /i-�. J��'-'. <br />Hlock __' S—� "'_Add__....._'___.'_'_ <br />�'�4-- _�:------- <br />�J' � La .:: -.2.. .. sire�c <br />Kn.�""� _.�.�.--��-- /� <br />"" <br />"_ <br />..__.. _..". _'_"'_ ' <br />__'""_l.. -=,V �-��u'_� <br />'_" <br />'I'hi wark lo bc eseculed b)'"--'_' ._"_--_-_'_ '__'--.'_ Ph�mber <br />SuueSizrottap. ����'-��' � <br />/ <br />.. �� _�.:1'np to be inserted in tBe main. <br />-- �, <br />y" �..`:�� ��: <br />_�'_'\Vatcr:lnset , . . _.-TC\�• <br />'_' / P:�;1� � �11 .�t:� V <br />--�'7--'- . �� r `1• '.,� �af. <br />__.__._.Urinal � ����������,� + � <br />..____..Plainfaccetinsidc � 1 <br />�� <br />_ $ide x alk N�asher �l� `��� �( <br />- __-_'_ �. �1A.i'i r . <br />"'11occ bib oulcidc '' . �� - "`�`'�) <br />_.-__" ' �C��+^"-'-- .jl'/ <br />_ Ilos^ bib for 6uilAinR piupases J <br />----- \ j� Y��:. <br />_ Ilosc Sib inside •,� <br />_'_'_'__Ilibfnr:tablecont:iining _.-__�artnlC._ _-- <br />_. ��Numbcr u.` perwma in f�mil�. <br />G�____NumLcr ot wnms iu building <br />'Che Prtmisrs arc lo bc uacu ns a _-. -. '--' - ' - ---' '---. <br />___-_.__-_... <br />'Phc owncr of lhc Premisrs is __'_". - ' -- . _-. _"_'-"" <br />_'_'_'_. . .____'___. <br />7'hcaRcntis ."__'___"_.-...._ <br />._'___'_""... '______"_ <br />7'his apP�icatiun, alihough signed, shall not be bindinp uP���� ���e City, untii ac� <br />repicd by Thc SuperimenAent nf the R'.ter UcP��-tmrn <br />,� � � - <br />�iH�:ed<_�-___1�.��'iL�1 2-W�t __.Ap 'cant <br />' <br />: Hyi_. �___..._ _._.____'___. <br />' � '�� l� :,���.��im��:.�� �_ <br />