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� <br />u-. �. �����„ . �5�0 �-�_�� �. F. (-� <br />CITY OF EVERETT==Water Department <br />Ap}ali�cation %r V6�ater <br />L <br />:\II bl;mks must bc filled in ur c�us,ed uut <br />� C <br />li��crett. .. _-. . . --�� .. _l9l _� . <br />-_-______�' "" <br />"I'(� 'I'llli SUPIiHIN9'GNUFN'C OF 7'llli WAT6R D6PARTntii�'1'. <br />CI'1'Y 11F F.VERE7'T: <br />1 hereby apPIY f��r the use of wa[er in :�ecurdanm e�ith the rulr: nnd regula� <br />ti��ns nl The Wa[cr Deparlmen[, (ur Purposes and (x[in'es strrted brlow. <br />During the time thnt anS �f the wnter mains may br tnkcn up by rea<<m uf <br />any improvements authnrized bc the Cin� uf Everett, in nr of any strcet nr allr� in <br />which [hcy may have bcen laid, the Cily ��ill no[ he required to lurnish water during <br />th�� pnn(rrss nf such improvements [o any consumer whnse supplY may thus Le .vt <br />��ti. ur 6c liablc far any dam:��es G�r its failure so tn do. <br />APplication Na.___ �J n .J-_�____ <br />c �Rlucl: �-��---'_. '-._-.Lot__��'-=:-% .."_.Add'_'_' - <br />__ . _._.____.._ <br />,,,. - -� =� °-q-- ---- �-6-�-`- --. s«�<< <br />_ _- --- - --- - r� -- - ---- --- ---- -- -. <br />'fhe wurk lu he executed by_ ___L-r/�----'_-.-.-_ Plumber <br />tit:/i{e size �d [ep. <br />�/ 1—__..'Pap t�� be inscrted in Ihe main. <br />�. _____Water dnset <br />__�_.._.8ath <br />.. . ... . .Urinal <br />_ _ _ _ _ . Plain faucet insidc <br />.-.____Side n�alk w�shrr <br />. _ _ _ __Huse Uib ouisidr <br />___. __. Hose bib t�r huildinK N��rpuses <br />-- --_ Hosc bib insidc <br />..___.__._ifib (nr stable cortaining.__... <br />.. . -__.Num6er nf Persuns in (amily <br />� f____ Number of rnomti in hn ilding <br />'Phe premises are u� be used as a[. _ <br />��,%. �? � �" � f <br />'i � �� ? <br />�. � <br />:.,� ._ �� � � <br />: �?�''V�,������.1 <br />' j�: .� i'1 .\•,�" <br />11�. �I .�l-' _�Q <br />'1'hc uwner of the premiscs is __ � <br />-/,. ___'__-... _ . _____'_______ _ _____'_" <br />,' , �'�,','___._' "___"_" _'___ _. _ "' <br />1'hcatien'is _______._'- I � <br />r�,�y :���i��•�•.�o�. ,iu,� �� si! d e �II no b hindifig u� ,n thc Citl', until`uc. <br />��epirJ by I'he Superimen��n�n�' F�r 1 pten-1'Fi u�, �!�.-(ri <br />. --. __Applicant <br />. <br />'i <br />iic'rcpted �'. _'"___ _.IJ� 1� Ry _ _...___'_"__ <br />/ !/ / ."_______ .,...•iim.n.:...i <br />