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. E/YT�7 - "` �'7 - i ` 'G _ EA7G ��- s-�--•'" ' c'- _ <br /> w�. n. e���„ � iseo a-�-n e.P. <br /> CITY OF EVERETT�=Nater Departmen# <br /> Application for Water <br /> :111 blanks must be filled in or crussed�ut ' <br /> "'_'__"/o/L L L <br /> F.c�a�et4 -___._.' _ _.___.__ 191 _._... <br /> m •ri+M su��liRl\'fF.1DF:\'f OF'I'11F:NATER UEI'ARTMENT, <br /> CITl' OF Ii`%ERF,1'T: <br /> I herehy al�,1>' Grt �he use a(�rater in xccordance with lhe rules nnd �eFula� ' <br /> ti�,r.�s o(The�Vater DeU�runcnt, for purpnses and fistures sWteJ below. <br /> During the ti�.ue that an����f Um water mnins mny be inken up by :eas�m��f <br /> any impmveinents auLmrizcd by thc Ciiy��(F.oerelt.in ur n( uny stroet �r :iilcy in � <br /> �vhich tlicy ma3' ha�c bzen laid.thc CiU'��•ill nut bc req�.�ircd tu(umish water uuring <br /> Ihe PmFresa oI such intprovements lo mq'consum�•r whu.e cupplc Nny Ums be cnl <br /> i�ii,or bo li�iblc(ur any d:vnaF�•yp(���'pils failure so to An. i <br /> Applirntiun Kn.""7�' o'v—"' �/ ' <br /> Ad�l 1?<.c��t� �'rA <br /> Block _-''y.['pih_ I.u.. -' � "-__'-__' , � <br /> Vo..�.Q.�/ _r!��+-!cbP:vL''._'___._Strcel'__. .___'_" � <br /> 'fhcwnrkinbecsecutedby. .-__" '.-- __-'_ .___ --' Ylumlxr <br /> titatc size��f lap. <br /> ���r"_Pap to Ix inseAed in the main. / / �� — � � ,�" . <br /> -.___'____1Vaterdoset � �� /� <br /> __.'____.Ii�iM1 <br /> ___. .Urinal <br /> - ._______Ylain fnucet insidc � <br /> __._.Side walk washer <br /> ._.__.._Hose bib outsiJc '�' <br /> '__'_'_'_ Ilosehib (orbuildingpwpnses f,� � <br /> ___.__.Hose bib inside \ <br /> '""""__Hibfors�ablccon�ainin6_._-'_"_-•tnll_-...-.._ `� . <br /> _'_ _""'Nwubrr nf Pcrsuns in f:m�ily <br /> _'_"'Numbcr of rooms in buildinR�J � <br /> . • c�- <br /> Phe Premises are to bc used:+s a___-__'�'�"-_'4'-_'_""""" _"'"' � <br /> The nwner of lhe Prcmises i. _'_"'_ ''-'__.___..--'__"___"_"""_" <br /> Thc aKen[ is ""_ ._. _ _...._'"'_' .....'_"'_" <br /> .._ _ . ____._.___._' <br /> . 'Phis :ipplication.alihnugh SiK��ed,>hall not bc bindin�;up�m Ihc Cil)'. mllil ac� <br /> �rptcd by The Superimendent �d ihe\Ynlcr Ucp:�rlmrnt. <br /> $i�;nc�Y___--_�_'%�''ApPlicant . <br /> 'yl � ,�,.,�:,�:��«:�_ l <br /> � <br />