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�v-. �,- ., � . �. <br />E n�TD 5-.29-' �- � <br />:.'. o. F:a•', �� ISoa J-1-17 c. P. , � �. <br />CITY OF EVERETT�=��'ater [�epartment <br />Application for Water <br />All blanks must be filled in nr cros��d art <br />_ � .,� i <br />FvcretL _'_' `� ' �-�/-_'""' "'_'_'.191.y-- <br />q'p l'HE SUPfiRIN'1'EhUGNT OF "Cilli WATER UEPART'NF.NT, <br />l'1"I'Y OP E`JEItETT: <br />I hereby �pply (or the use nf �rater in :�crnrdance wrth the rules and regula� <br />ii-��s nf The Water UeP�rtmrn4 ���r Purposes :m�� fistures s[ated below., fe��n �( <br />DurinK ���e time tha� any uf the water mains may be [aken up Y <br />:mv imPrnvements authorizrd 6�� the Cily n( E��crrtt. in or of anY sireet �rc alley in <br />�rhich thrr mo1' han� been IaiJ. Ihr Ciq� will not 6e rcquircd t�� tumisF. water du,-inp <br />!hc pro�ress n( sudi iinpro��rinrn�s b� any cunsumer ��•hose supply ma)' �hus be cut <br />��ii, nr bc liable fur anY /djans� f<�r'.�s (:�ilure su lu �u. <br />ApplicntinnNo.--L..-... -��----' <br />/J — __.' <br />LIoc6 _"-l. �-r-/ _ __Lnl_'_��=�./�1. ... __-.1dd'_'_' ' <br />_"_' <br />Nn.._-��i..0 �.._�GL�Ci.`......._'_..Streel <br />. ._.____._ . <br />-.________.'____"_____ <br />_.' _ <br />_-/. <br />_._._..._....____'_ - _ <br />___ I lum6er <br />'fhe «'��rk lo bc rxcr.utod bp.. '-"" ----"""""- / , . <br />S 'i/e ui Ctp <br />. ta�c s . <br />.. �i/_'���i �n he inserled in �he main. . <br />, f., <br />-----�-Na�cr dosc� . . <br />.__.'_ �.Ilath <br />__ .Urin:i! <br />_..__.__Plainfaumtinsidc ( ,. . <br />_ _ _ _ _ _ -_$I(�C N'T��i N'05h1'f <br />___.._11ase bib autside <br />_ _' _." _ _'Iiose bi6 (or buildin�; P��rpuses . <br />__ ____H�sebioinside <br />_ _' <br />..._Iiibforstahlecuntaining -..------sv�IL�-. --- <br />_'_ -.\umbcr of persans in family. <br />"__ _� -A+un,Scr c( ronme in building . <br />The Preciises arc ln e u.e ay :� _-. <br />__ ___"' <br />.._ . .__..__ __.... <br />Thc owncr of lhc premixs is "'__ .. . ..... _ . . - _' _ _ -' "'"- _. <br />Thca6entis __...-.-_...- .__.'__ . ...-. .. -._ . ______ <br />-'ry�,,, application, altlwupli signed, shnll not Le bind' , up��n the City, �mtil ao <br />[ed b� Thc SuPrrinle e�af Uepart . <br />SiHnc . .__-:i -.-��-(�- __Y�9_ . _ _ . ApPlicant <br />i <br />� Bv..__./'_" __"'_____'_ '.'-_' <br />Ac[entcd._._ ___. ._ ..._..U] . _ s�,.�,i����.� <br />�, 7 `„ /1�� <br />5 �, <br />