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r' ,.. , . . - . <br />� . .. _ '� . . .. <br />9:. D. Fr.m: 4 15L� �.,.-V G. P. <br />C(TV OF 'EVERETT==Water Department <br />p�pplic�►tioxi #'or �Va�er <br />All hlnnks must be fillcd in ��r crosscd ��ut <br />,i; � � i : . <br />_-_�__..191_.:_ _ <br />�vcrett- -= ._�______'__'___.'_____ . <br />TU'fIiESUP1iRIN1'GNUIiNf 07YH� �L�/ERETT {'�1RTRIENT, <br />I herel:Y �PP1Y f��r die use,r f ur>>ses :md'fixtures staled'bclows and regul:r <br />tinn. ��('�he 1Vater Dep�run mt, : P b ruusun u( <br />Uuriiu; thc ume that any of the water mains may be talcen uP Y <br />anc imPrnvemc��ts autl�uriud by [he CitSw�ill nntrba rcq�urivl lo furnishewaLeradi ruiti <br />which diey m�Y have becn I;�iJ. Nie CiU' <br />the PruKress of such imprrn•ements d� �nY conswner whose supply m�y �hus b�• <<�t <br />nf(. or be Iiable G�r any dama s(�n' its failure su ro dn. . . <br />-- -- _ / /, <br />7� <br />APPlicnliou No.__ � a--' - �..,. , _ . . ���' % , <br />:1 Add__/SJ-_''____"_.. <br />Blnck �-�l__' _._.._LotC__; '______"____- <br />, , � <br />– . , , ' v.l"'----�---_Strcet <br />`plo.__.__�_��/-..___'___'_". . ,. <br />__"_'___" <br />_ _""_"'""_ <br />_"___-_'__"'_"__'_-___'__'_- '�� <br />__'."'__'___ ' <br />- .-- -. . . Plumbcr � 1.� <br />.• .�'!-_v' 1 -___.__ <br />.'____-.___.._ , <br />__' � 1 <br />"1'he w�ork [o he eseeuted Y_-"" `'"_ .. . . <br />Slale sizc o( tap. � � � . <br />I <br />-�/ y__ Tap tn be inserted in the main. r� <br />' �� <br />� \Vater doset . _ <br />nr�� ,,✓i L_,. <br />. ��_BaHt �' /' % � <br />-- __ ��� � _l ;. <br />.Uriwl �;'7 � 1, . � <br />__Plain f.wcet insiJe \ . <br />� � �� 4, <br />' __Sidc �s'�Ik �vasher �/ � � I I I- - F� , <br />_' _' � i <br />_ _f'__'_Hnsebibuutsidc _ �, j, <br />' ._HoscUibf�vbuildinF;P��rPnses Per_ .. <br />..--_- 'Hosc bib insidc ��� ' %-.� �. <br />I3ibfnrscablecontnining.._.._---_.stall _-___ a`.F�r_ -., . <br />_'Nuu�bec ni perenns in (amily „– <br />_-�^__'Number n( rumr.s in b�iilding � , <br />' _ _ _ _: ' _ _ _"/; "_ ""'"_ <br />..___ __... <br />'1'hc premises arc to be used as a - - --- � - ,_ ... . <br />. <br />, ' ' �'__"_'_'__ <br />'fhc mvner of Ihc prrmises �s '_–'- <br />'_"'___"__ :_"_"___ <br />.__ __.___.__"'_______________ <br />'fheahentis.__-'----_..-�.---._._-___.___. . untilae� <br />"rhis :�pplica[ion. altl�nuFh signed, shall no� bc binding upon d�e CitY. <br />, rptvd by The SuperinlenAcnt of the \Vntcr UeperuniiiL . <br />' ..__ _'..,.___"_'A�l�ant <br />. ............. <br />Si�neci – �• <br />- � 4 <br />______�yl ///��� ��y � __ _ ___ .__ ._ . \1 <br />:\ccrpi�'�I. \-� _ ' % � SuperinlenCent •. <br />� <br />t i <br />