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I <br /> r <br /> ... .�. Penn � ISJO J-I-17C.P. <br /> CITV �F EVERETT==Water Departct�eitt ' <br /> t'lpplxc�.�ti�r, for '�'Vater <br /> :111 blanks mus[be filled in or cro;sed �mt <br /> Evcrett. _.-_ . ___..!,�_-______.�./.__ <br /> 'I'U 'I'lilS SIIPfiR1�71'BNllIiN"I'OP'Clili \VA7'6R DBPARTV11iNT. . <br /> C11'Y OP Ii"LRI:T1': . <br /> I herebY apPIY tor the ase u( water in :�ec�:rdance wi[h the rules and regula� <br /> i i;�ns n(7'he IVa[er U<pnrun•nt. (nr purpnses and fixwres stated beluw. J <br /> Durin�; [he time that nny ot the�catcr mains ma� hc taken uP bY reason uf <br /> :ing imprnvements ;mthorited br tim Citv ut 6�crett,in or of auy street nr allep in <br /> mL�ch Uiey m-iY h:�vc Lecr� laid. thr CitS' ��'ill no[ be required In lurni�h watrr during <br /> ih�. pru�ress ol such improvemen[s tn any consumer �ehnse sugply may�hus be cut � <br /> �.I:. ��r I�c liablc fnc:my/d7amngcs fnr ils (ailure sn [a do. � <br /> ApPlir,o[inn Nn.'_'-L-���.____ � <br /> 131nck ...2=�-� .---_Lot'__�'Z'_"-.__'Add___. _'__'___'-" <br /> Vo..__.�.�-��_ .'_"'_. .._.��___�'�l'_____..._'__Strcct <br /> _"______""__" ' __"'_"_,"/.—..7.�. _q"_�'"_ __"`" "'_'__'_""_"';"__'_' <br /> . . I'he work tn be e�ecuted by.11 ,_/.0/-._�w�-�r?-�<L-'•'--' I lumber <br /> titnic sizc af tap. <br /> ��,. � r i . r- cl `.. _ <br /> �. c,—_Tnp [o be in=urted in the main. �y � � � — — <br /> _.. �. -__Wa�crdoset <br /> ... .__._.E3ath , i , • <br /> _. _ .Urinal � . <br /> -_'___.ylair. faucctinsidc <br /> __Sidc walk wnsh¢r <br /> � .�'��� Hose bib uutsidc �� .. . . <br /> _ __Ilosc bib for building Purpnses "- . . <br /> . ._. _Huac Uii� in=idc <br /> ___ _._liibfor.tablecoe;r,ining_____.__....s[all.___ ... ._ <br /> -. _ ___Numberof per=unr in family <br /> ._�..__Numhcr of rnoins in buildinl: <br /> 'I'he Premisrs are tu 6c used as a.___�. +-___. __ .. <br /> 7'hc nwncr uf[hc i,:.:�t:i::cs is '___'L�C/.'_' _�-- l-��--�-�" _"" <br /> 7'ho�gentiv ____ .-_. _ .. .._._________� � ._�.__________'-__ __.-_.___ <br /> i his applie:�tion. alth� ogh signed, shall not bc bn�ding upon lhc CitY. un[il ac� <br /> ccpted by The Supeririendent n(tt�c 11'ntc U�p:vtmen h. � <br /> Si�;ned � �___�'.—����-�-'-�'�-�L_ ._______'_Applicant <br /> / ,,_ <br /> A�rrr.ted / '-�-''-_-.191 RS'' - - _>'.. __"'_'__'.'' <br /> s�.r,�.rlmenAr�_� <br /> �, . <br /> ��,.��i _ � _� � _� <br />