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� ... .��.ir.n .�.�.��.i:r.i-. .. <br />��.tTV 0� Ci'ERETT==1'Vater Department <br />f��aaaplicatior� f�� W��t��' <br />�lli blanks must be filled in •+r crossed uut <br />_�__ .G � <br />Evereti, � y' -� . _______191�_-.. <br />G._ �3�i___'_.'___- <br />rn rrn: snrr:eix rLNne�; r� THe �v,�Tra nL��nirrn�en�r. <br />crrv or r•,vras��'r: <br />I herel;; npPly G�r the use ot water in aemrdance u�iUi U�e rules and repid:r <br />�. �.r of'Phe �Va[er DePar[ivai[. (ur pnrPoscs anL fixture, statcd heloa•. <br />DurinC die time lhat :mY' oi thc wa[cr muins may he tni:en up by rea=_un oi <br />nny imprnvamenls authorized bp the Citp ��f L•'verett. in nr nf anv slrret ��r allcy in <br />�.c:iich [hry ntaY h;n�c hrcn laid. thc City ��'ill nn[ bc rec�mrc<1 I�� (urni=h �t':ncr durini <br />ihe prnl:ress of sueh imgrnvemenls lu �my cunsumer �oh��". ,uppip mac Ihus 6c cut <br />�.if, ur b� liable (or auy damd!'.es C��r it� f:iilure so to du. <br />APpliratinn N:�.s'_-____.. �._-____._.- <br />Blu�k .��9_e�'_' _.._LuL__'��_��.2. _Ad�l . .. - <br />\�,._.___ _/_._7��___ __�'�e__'______ ___..Street <br />. _. __..-.__"" ' _'_'_"___'_'_". <br />...___._.'___'_'____'__ <br />. ______'__"_""-___ Plwnbcr <br />"Chc �eork [0 6e c�eCuled 6}'-'-'_"'_'____"_ ' <br />$ta[c izc a! Ihp. <br />. �_'__ Cap [o bc inserlc <br />. _�. __N:�ter claset . t <br />_� __llalh � J <br />_ . _ _ .Urinal �tili� <br />— --ri,�„ r.��,�Cc� � <br />_- ----s�a� «:�ik d`;�i <br />-.------._Hnse Lib oi��cl <br />� <br />' _._"___Hose bib (or hdf <br />_ _ _"_.Ilnsc bih i�isidc <br />1 <br />�� , <br />�y n �" ^ .l�l <br />l,/ i/ <br />� <br />_______Hihforstciblewntaining_ — . � >tall - -- <br />.___'Numbcr of persuns in iamilg <br />..�____Nwnber ��f ruoms in buililini• /l <br />� L� ' <br />'I'he premises are t�� be used as n.._- - � �- - <br />��,/_- �/� <br />t <br />'Phe uwner o( [he Prenuses is ____' <br />:�cY_.-L-�'i"� �,.I�_� �ZJ_.'_. ... <br />"1'hcaFentis ___.____.._...___.____'__________ ___________ . . <br />'fhis :�ppli<ation..dthough sil;���d. sLnll not bc bindin� ��P���� tlic City�.,`�?til :u'. <br />�, pird b_� �CLu SuprriNandent u( �Lc 1Patcr Drp.atmenL �,� <br />�� � <br />c-�.�2J'� __._ '__'____'ApPlicaitt., <br />_.......______.____- <br />_�� ,mm�]er.i <br />