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G..�,t-L1 U-- 4._.7'�-L _ c.� t_ n,--y ,/_.:II. :�. <br />t �y � f <br />W. D. Form � I500 J-61 ] C. N. <br />CITV OF EVERETT==1Vater Department <br />.�ipplication for Water <br />�lll blanks must 6c fillcd in or crocsed nut <br />IiYcrell. -._�Nc�"'__. __.__.___19Y�..7/. <br />// _.."_"__' <br />TU 'PHE SUPERI,�'TENUIiN'1' OP' {F R'A7'1?I2 DI:1'ARTTilin9'. <br />C17S OP Ii98RfiTT: <br />1 he�eb)' apph� (or Ule u=e �d ��'+LLe� in acco�dance wiU� ihe rules and reFuL�� <br />ii��;is nf The VValer DepnrtmmL (nr purpasce and Gxlw'es clated bclnw. <br />Uuring �hc time Ihat :uip o( Ihe wnter mains may be Iaken up by reason nf <br />any imqruvemenls authorized 6c the Ciip n( Iiveretl. in or n( an)' sl�cel o� allr)' in <br />�rhich thrv mav have 6een IaiJ. the Citc will nnl 6e required (n furnish a'ater duri, ti <br />❑ie pmKress o( such imprnvemenls �o anp cunsumer whose supplr map thus he cut <br />n(f. vr br liahle for anp dnm:'i cs L�� ii� L�ilurv so !n do. <br />� <br />ApPlirntinn Nn. `_�/. -.._ <br />�"___ <br />t3lock.y -:7�2�f"�__�_/i-/�t.__.��..-/(�___.Add. _.. .. .. -. .... <br />\n.c�_�sl�.'--.�/--_._. NYC`.�"�r_...Strcet <br />� <br />._._...'____._"'_ ' __"'_ .. .._'.'_'___-__._____'_.._____"'_'_ <br />"fhe�cnrktobeexeculydby._.. -___""'_ _-.__.. ._____._._.-_ Plumber <br />St� Ic;izc uf lap. ' <br />�?� � n o <br />_.__ ".Tnp lo be insertrd in the main. / J / <br />._ _ .0 _._.Water closcl <br />_...�..-..13ath <br />_. _. .. . Urinal <br />. ____...Pi:�in (aucrt incidc <br />__ ____Side�cnikwashrr <br />. "' _ . . _11usc bil> uulsidc <br />____' __.11ose bib forbuildinF P��rP��`« <br />. . . . _ _ _ . Ho�c bib insiJe <br />. ____"_'Iiibforr.�ablccunlaining __ _- <br />__'_ ___" Numbcr n( persurs in (ainil�. <br />� <br />_ _""�' __NUmbCr o( rooms in blrildin�; <br />rne nremis�4:�re i�� be u�ed as a_ <br />.e o�cner u( the prentises is _. -_ .. <br /><lall . . _- _ - <br />__.. __ ___ _ <br />_ _ ... . . . . .. ...... _. <br />ThraHentls .__..___ .. _ .... .. ______'____._._____ . <br />9'hi.; applicatic�.n, nithough ���e . shall not bc binding upnn thc Cit7'� until ac� <br />i ' <br />' <br />��. 1 bv The Superimenden� ` 1 e ' Dep � Iment.... .. <br />Si�ned___� �- .. . ..__-_Applicant <br />T_ <br />;plcd�L.�%.�.._..y"T�-�-� Iiy.F��CI __.. _. ____ .. <br />.�. � �r ..�.. iiri^,,...., <br />