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r.,r r ' � . � __ _ . . . ._. .. �.�. <br />w.o.r�,�,• iseoa-i-i�c.r. <br />CITY OF EVERETT==N'ater Department <br />Appiication for �Nater <br />All blanks musl bo fillcd in or crossed �ml 0 <br />.. � � 4i -y � <br />liccrett. .. -- �-- ��`---------�`�'r-�%/ <br />/ <br />TO TIIE SUPI?RIN7'1?NUI{N"1' OP'Pllli \ 7'8R DIiPARTnlliN7', <br />C17'1'QF .Jlilili7"P: <br />I her<�hp:ipply for ihe use nf -.c:iler in :�ccnrlante �cith lhe tales and regul.�� <br />tinni uf l�he '�.\'�ilcr U: p�rinl •nt. (n� P��q�nses and �istures statcl belmv. <br />Uw'inq thc timr tl�;�t anc n( lhr vcatcr mnins mac br taken up by rcasnn of <br />nny imprncements aulhnrized be �hr City a( li��erett, in ur o( mq' clreM nr alle}' in <br />�v.�ich lhry ni w haec bcen laid, thc lity will not Lr ���quitcd tu furmsh x•atcr during <br />Ihe Prny!rrss M euch imprnvem. ms tu any cons umrr �chn�e cupp.y mac ihus he cul <br />��fi. or bc liablc (nr nny dam i�es (ay�i I�t, failure su ln dn. <br />� /���/J _ <br />ApplicnlinnN��.�. ---. / <br />� � f � V <br />Rlack �-' ' � -I.nl=l'_'_- _ _._rldd-.._... .. . _- ..__ <br />\n..����.�_ .C���'.l_t.r�7i__.___... Street <br />_. .. .__._ __..__ . .................._..__..._______'__'_____ <br />"I'I:o �curk lo bc isrtuted by.. .__' _'_.'_"" _' . _._ _.'_ _.'_"-_-' Plumbcr <br />St:�tu /.9ize o( t:�p. <br />�/_i� •PaP to be ins��rtr,7 iu Ihe main. / ,� ��i <br />__ _�_11'atcrdn=ci <br />.. . /_ _ _.lialh <br />._.. Urinal <br />____--Plain (aucc� iosidc <br />"_"_Sidc ��'ali: �cashrr <br />.' _'__Hosc bib nuisidr <br />__'_""Ilose Li6 fnrbuildlnq puipo.es <br />.'."'Hos: bib inside <br />"__Bib(o�slablecuntainin�;-._...._..stall_. . _" <br />. _ "N�anbcr u: Pcisr,ns in (:unily <br />/.__ <br />. NumLcr n( rnnnu in 6uilding <br />'I'h Premises am d� be used as a�� '/,/�'�� . _ . . _ . .. _ _ . .... <br />'Phc uancr n( �hr prrmi=es is °�_l.�__�'1.c-�r.1✓�i/,'.�. <br />"Phe aticnt is . _ _ _ ... _ "'. ""_'_"""" .... <br />7'Lis apPlication. although xigncd. shall mt bc bindirg uPon ihc Ciq', uriil ar� <br />rrpled by The Sul��'rinlende� f the \1'n�)epailmen[. <br />� � <br />Si4PtcJ . . ?"' � LL. - "�iL14 •v� acf-r. _ .. . _ . . _ _ A ppl I.r:ml <br />Acn�pted _ `��-r-�'�' Ii�� %�. . _ .. �, i..n...� i ( <br />� <br />