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r��io s-v-�`'"i <br />,, <br />. . ; <br />V.', D. Pa�n 4 I500 3-I-17 C. P. nC�mQ„+ <br />GITY OF EVERET'r==Water Depa ������� <br />�- <br />' ,Application for Water <br />All blanks nws[ 6c filled in ur cr��-�e�� °�� <br />- �7---- ----�9� �- - <br />Evcrett. �-�-----------------" <br />'PO TI1E SUl'L•'RIN'PIdNUEN"1� `I'1'Y' 7F EVGRF.TT:` A�TLIEN'I'. <br />I herebY apply (��r the use of wa f«i °and�fixWres s'l��h����ebws'�nd re6ula� <br />�inns uf 7'he Water Uepartm�nl, for parp n reason uf <br />During the time tha[ ���Y �>t th�' tP�t" °"ins may be taken up Y <br />:my improvemenls audiorizcd by inc Cin� o( F.veret[, in or o( �m' s�rcet ar alleY in <br />the I mgre.sti d sochLin Prnven ents �u'an3'�con uai�e�r�vh� e'sippl� �ma� ihus bcr�'ut <br />ntf, or be liablc for anY �t��n°��s for [s f�ilurc vu 4� do. <br />appliCnli�m No._�Q� �'�----- . _ <br />/ "_. �j?__._""Add_.__'__'_.'"___" <br />Rlnck7./r -_._ .�:.--I.ut .. <br />2 (; _____.Street <br />z _ - -- - <br />--' -- ' <br />.�,. --- - `=- i- <br />------- <br />- -- - - -- --------- ---- <br />_ <br />___- <br />- ---'-- � _ _ _ Plumber <br />_. - _ <br />________._._. <br />"1'he «'��rk tn be executed Y—�--..- <br />���i ��te iz d taP. <br />Can to 6e inscrred in Ihe main. <br />- � -w.,�. �i�,sr� � � o a <br />�-- �;,m <br />�!- <br />.Urinal � ��- <br />i. i <br />__Ylninfaucetmsidc ,;�. �r"'_�� <br />� ��;>j �''( <br />- _ ___Sidc �calk w•asher . ' /^' . . <br />_ __Nu�e bil> uutside ' (' �� (.� , II' 1 <br />t, -� � <br />-. _ _Hose 6ib (nr buildinft P��rpascs :. " � 'r ;._.. � ' � ; <br />_ a ,, <br />"�� l � � <br />i <br />______{Insebibinside � . � <br />�� <br />. . ..._..stall . � ����. t'CP <br />'_"__'_Uib(orstablecuntamm8.--._. _� ,� .. <br />S` a� �_„ e <br />__ <br />Numbrr uf Pcrvuns in tamily ���;�� ,,, � . <br />/� V'_�= :^.�._ . <br />____(�_(._ Number��tronmsinbuilding :�•"{� �. <br />/ . '.'."_"'_"'_"_"'_"" <br />_ '-`_ �' �_ r. _ � <br />'fhe premises arc to be �»ed as a---... <br />"Phe owncr nf [he Vrcmises u .____..--.-'__.. <br />_.. ______._____._.___.._.. <br />"1'1'�c aSent is _ ___''_'__'-'. "" <br />._._../' __._"___.________._.. <br />7'his npplicalion. althou{;h gned, sh:Jl no� be bindin � upnn [he CitY� until ao <br />cePted bY �Che S�Derintendcnl� 11 e 1 �' )eP� n' ' ��� <br />� / l_X <br />'�-----�--C�--�—�1ArPlii t <br />Sitined..l--"--'._"__' '. <br />_— � n _���_._______....____'__'__ _ <br />Accepled.�fj—�'�'7--"1".%i , . % j 5�.�:e•imen^.cr�� t, <br />i � � <br />i <br />