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�.r� i-,, � <br />En�7�� �-�'�.' _- <br />v:. o. F��� � isoo a-i-n c. e. <br />CITY OF EVERETT==Nater Department <br />Application for Water <br />:UI blanks musl Le Glled in or crossed oul <br />_ —� . . . I�J�f . <br />Ercrclt.---___"'_"__'_"_-_'_'_ _-'__. _191_. _' <br />'f0 THE tiIIPIiRI\l'LNDGS'I' l7F'1'Illi \1':1'I'IiR UIiPAK7'T1Ii17'. <br />C17'Y OF I `JliRli7'T: <br />I herrby apply (or Ihe use u( �vatvr in :�ccordance ��'ith lhe rules and regtJa� <br />liuns n( "Chr 11'ater U:p�rlm •ot, (or purpnses anJ fixlures staled below. <br />Durin�; the time that any nf the water mnins m;�r br �aken up by reason n( <br />anc imnrnvements authorized by thc lity u( firc�elt. in nr u( any strcel ur allep in <br />vrhid� Ihry m'ry� I�ave bren laid, Ihr City w'ill no� be rcquircd tn furnivl� u�alcr durin�; <br />thr. prn�rccs a( such improvi•mrnis to nm� cnnrannrr �eho=c cuppW may lhus Lc an <br />,df. or be liablc fur anHy danniqes tur ils Liilurr su lo du. <br />,\pplicnlion Nn.._/_�-�--6---'--- <br />�s�„�k ��5'— �.,,�. �1— �- � � 'y"�da <br />c� -- — — —_——— <br />���.----� -/-D�--�(_- �-------.strcet <br />"fhe�cod:tobevsecWedby___. '_"'_" <br />S�:�ta sjcc ot �np. <br />�2J_9'ap tu be inserted in the main. <br />_ .. .�_..lVater dnset <br />" ._�._.14a1L <br />. ._. .Urin:il <br />_'___. _Plnin fautcl insidc <br />_..___.Sidc �calk �cashcr <br />_ ...__ "'--__'__' Plumbur <br />� /� p G <br />_ _ _.._liosebi6uulsidc � ..., . , ' <br />„ �. <br />..'__ ..Ilnsrbibforbuildin�;pw�puses �' . ; / . <br />_.. ._"'Hasebi6inside \ �`. NCf��.��.-„ . <J <br />:� � <br />__"__.Ilibfurstnblcronlamm:.____-'-_--' ��� – <br />� . r f '�v�' <br />... -. _'_'NwnUer of persnns �n fmuJy ... �� � 4 <br />. _..�1 .Nmnbrr af moms in 6uilriing . <br />"I'hrpremises:�retobcu=edasa'._"._"'_""""""""'_._"__' _".. <br />9'It� mcncruf lhc premises is '___'.-__-_"'._.._..__"_"'__'_. "___"'._.. <br />'I�hcaKenlis '______.._ _"'"__"'"_' "___'A"'_'."'_. __'_"," ' <br />"I�his :q�pGcalinn. :dtlrou�;h signcd. shall nai bc Lindin u�nn lhc Cih�. tmlil �c- <br />, rytcd i�y 'fhe SuperimenJent u he Wntc Ucp. nenl. <br />SiFncd _._.��_.��� �f'____Appl ant <br />'.__ <br />� r <br />�ccentrd..-' - --'---------191 Hy.-'G.:-'-'�- '-' '-�-----------'��- <br />/� � ' _n�c�immceri <br />�/, . <br />\ <br />