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E�iTy 7— � ' /l;. <br /> � <br /> w. o•;,�:o . ie.�c �-i-ivc.P. <br /> C1TY OF EVERETT==Water Departm nt <br /> t�pplication for dVat�r <br /> e\II 6lanks must bc G��cd in or crossed out <br /> — 7/� `I : <br /> 1?��crelt�-�----- � ----'----.191 1 .. <br /> "P�7 TH14 SUPGRIN'i GNUIiN'I'OP'I'llli \CATtiI< IitiP.\RT�11iR7'. <br /> C19'Y OP G71iRti'I'T: <br /> 1 6err6r:�pPly (or the nse u(�cater in accordnncc�rith the rules nnd reHula� <br /> tio:is uf'I'he Nater U:p���rtmen6 [or P��rpuscs and fixtures slateJ 6elna�. <br /> Uurim� lhr timc Ihat any oi tha walrr mains mm�br �;J<en up by rcacon o( <br /> anr imnruvcment.auth��rized bp thi•Cil.'�,( Iicen'tt.in��r nf an}' �irm•t �rt allry in <br /> ���hich tl�ey nus 1�:��'��een laid.the Cil)' ��'ill n�rt be reqci�rd lu furnah�cater durin�; <br /> :i�c prnerrss of snd:imDmvements tn anc cnns�uner �chn=e nuppk nmy tlms be cut <br /> nii, ur 6c liablc kn'any d./�m''i�;�7^(��r its Oiihu'e<o In clu. <br /> Applicnlinn Nu..7�!-'(--�" -'" � . <br /> �� �, . ������ <br /> ��i�,��; _�-- ��c --- — <br /> — - <br /> �aa -� — <br /> ,/ � �7 — <br /> Nu.7-`-3�/.. .-�f/!l?�r'�-:�/____.__.1.Strect <br /> "_ ' '_'_'"'_.-_ <br /> . ._____'_____'__"'_'__' <br /> . <br /> _ "". ..__""_'_ <br /> The�eork to be c�cculrJ by_._"_ --'--" '. . . ..._ -. <br /> _____ Plumber <br /> tiLuc 5/��,c�r.( IaP. <br /> - �/fJ_'fap tn bc in�crted in thc main. �/ OG <br /> __1Vatcr clusel �) �� <br /> ._Ilath �.g. ����. .c:.1�`.r . <br /> .__'._.... .UrinaL ���7',�r�i1i �( �`,* . <br /> ._Ylai� faucet insidc ��`,. <br /> _"__'Sidc�ralA ��':�shcr - , . �i . <br /> ___'__._Ilusebiboutsidc � �1�� i �� <br /> i <br /> i �� <br /> "Ilac bib fncbuiiding p���P'� \ � <br /> ___'_.' � \.. N0� __ � 1 <br /> __'_..Ilosc bib inside \ ' ��)'�'// . <br /> i <br /> �� "r`i/ <br /> _ .__ <br /> ._"___-"-Ribfnr5lablcconlaminR.""'-" . . ^ .`l�/, <br /> _\um6cr uf persons in famil>. - _,.- • <br /> .�'__'Numbcr uf ronms in builJing <br /> 'Phe Premise�are tn hc used as a . _. . .__"_'""_"'"_" <br /> '_'_"".'___ __... <br /> "I'he o�ener n(tltc Premises is '___.--_'_'_' <br /> "_ --_____-__'__".... <br /> _ . <br /> 'PhcaKentis ___'____..__._._..___..___. __ _ _ _. . <br /> . ._"_. .____-__' <br /> 'I�hi� �PPiita�iui4�I�hough cigned.�hall n��t hc 6inding uP�'�� U�c Cil)', ����Iil ac <br /> �utod hy 'll.;.Superintende�nl��/�[th`•��yYn�ler Ucpartmenl. p <br /> 7 v/// .._ }/i' ,�-Q'�_'YJIX .'____'_'ApPli 'm <br /> Simed '_'//-J-- b.�' - "i <br /> i.� <br /> _ „ <br /> � 191� li, ��yy-. .'__'_____;___ <br /> :\Ccenled.--' ..' . ' -.-. �� '✓� i "-'-'_ sucerinrcn�cm <br /> l <br />