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._ ., . . . .. . _ ., _.� � , ! 3 -� _ . � <br /> K'. D. Fmm � I500 J-1-17 G.P. <br /> CITY OF EVERETT==Water Department <br /> Application for Water <br /> All bl:mks must Icd in nr croscc��❑ <br /> fic.reu. - ' -'/"�__ <br /> ______--..19 _c - <br /> "1'�) 7'HE SUI'I?RINI'ENUIiN'I' F Illi NATER DIiPAR'1'A1ENT. <br /> l'I 'OG F.71iRETT: <br /> I hrre6y apply (or the �.•o(�eater in accnrdance w�ith Ihe rules and regula� <br /> tions' nf"1'he Waler Deparlm m4 (or purpus'cv and fixuu'es slaled bclue'. <br /> Uuring tl�e lime Ih:�t any o(Ihe�ealcr mains•.i:m�be taken up bp reax�n o( <br /> any improvemenls authnrived bc lhr Cilv n( livemtt,in ur of any sirecl or alle)' in <br /> �ahich lhey m:q' h�ve bcen laid. the Cit>'«'ill nul be nquired tu lurnish aaler during <br /> 1hc prngress of such imprnvcmenis lo anr eonsuntcr aho�e �u���b� m:�y �nus t,�rue <br /> ��ff.or bc linblc for:nt)•da�m7;igcs L�r its(:iilure so to dn. <br /> AlipliCnliunNa."'7_/.'��.""""-" G <br /> Z O � .S _ �.____Add _ _.___ _ _' <br /> Bluck ' __-_'�y__'I_-_// I.oL__�_J' '_- � <br /> \o.. .�GC.-'7�Y,.(/��<CL{�-- .__..Strcet . <br /> _. ____ -_...___ ._. ..__ .. <br /> - _ __.. <br /> ....�fhc �cnrk lo hc executrd 6y.__-'_. <br /> __ Plumbcr <br /> titatr s/�)e u(1ap. <br /> `3/_�'fap to bc inscrlcd in the main. �p ,, ,� <br /> /V vG,�/1�f V�J�/�7 <br /> _ ._�-..\\'ntcr clnset - <br /> '__"�._-I3alh .n <br /> ._ _Usin..l�� UY'" � ' T ' ' <br /> ___. �.__Plair. (m�cetinside `� — -� <br /> q't ...,��.�r�nhrr <br /> . .__�""Iln�e biU uulsiJc , <br /> ��_"'._.ilu:clul�l«rbnif.'. m�po.es <br /> __'__"'.11oFe-bi7+�inuJ� <br /> . . . � ' :wH'--�'_"' .�:ifT'�,:. <br /> ___"'"' <br /> ..._'___ . � <br /> / '`� <br /> ___ ' Numbcr uf pereans in (amily <br /> _i/_'Number n(monu in building ' <br /> 'PLe'.ircmises are tn be used ns a _ _. . ' ---- --" "'--- '-... <br /> � __'�__. -... �. <br /> '1'heON'�1CfOIUICpremi�esiv ..___. .... - -'-----------'-"' -' <br /> Thc aKent ix .____._ _ ___ ____ ____________________ <br /> 7'his :q>plicnlion.allhou{;h signed.shall nut be binding upnn tlte CiIY� unlil ao <br /> ��epled bY The Superin�endcnt of thc \Vnter 6eP��tment. <br /> SiHer[RI�.-_-- � ' ".. . 1 l;. . . � �' ""_"_A� litant <br /> -._"'__' _'_-__" <br /> Ac.cp�ed ' _' _"_'__'_'_' <br /> jj}---yyy �y I I3 <br /> ' �j /�''-L � _'���� surerlmrmem <br /> / � <br />