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0 <br />W. 1. fmn 4 <br />�ITY OF EVERETT-WATER DEPARTMENT <br />APPLICAT� JN FOR WATER <br />Ail bl;mks must bc filled in ur croucd out <br />EVcrett� . . ... ... :: - �J._. '?.__._..._ . 10.' . <br />'fU 'I'lll? ti1'{�I•:RIN'CF.NUF.N'P OF TIIE WATF.R DF.PARTh1ENT: <br />CITY OF EVF.RETT: <br />I hcrchy npply tm• lhc usc u[ watcr in nccordancr with lhc rules nnd rrgu- <br />Inlinns of the Wnlcr Drpnrtment. (or purpuses and (ixlures stated bclow. <br />During thc limc lhal any of lhc wnlcr mnins may bc Lakt� up by rmsan <br />a• any im �rnvemcnts uuthnnzed by lhe Cily of F.verntt, in or of any street or <br />alicp in w�iich theY �»ny have been laid. the Cil}� will not he requimd to furni�h <br />��:�Irr during Lho prngress uf such improvemcnts lo any runsumer tvhose sup- <br />ply may Ums bc cut off, or 6c linblc tor any dnmages tnr ils failure so tn dn. <br />, G >c) � <br />Appllcaliort Na.�.1...`:�5�..... �t' / �-�� . � - <br />� . .-- � r. l �_ i <br />I11a��k .__.. __. _ .._ .............. Lot....__. �. �7 . ._ A¢d..,;� <br />._ . �. ,�..�4�_t..4...�-( <br />�- . <br />Nu. . _ _... ' <br />... �.r. G _._...c'....5. �.�`__.,ef% _._.. .. . Slrcel <br />/.... <br />._...._ .._ ........_.._ _ . . . .......... . .._........ ...___..... _.._.. . .._.._._. <br />'fhe wurk lo be exrculeJ by.. . . ._ .. ... .. _ . .. . . Plun�hr,r <br />:;�;do sizc of lnp. <br />�� �.Tup lu bc inserled in lhc mnin. <br />_, � <br />� _.S5'atcr dnset ., <br />8�,�,, P �A;�� A,,, , <br />u��;�,i , <br />�' <br />Pinin tnucel insidr MAR� 2�"5 � . <br />Sidc w;ilk washcr � <br />i <br />Ilosc bib outs�dc Sl.�:�" ' . ,.. . � <br />Ilnse bih fnr building pwposes �'� � <br />Ifusc bib insidc <br />llib for slnblc conlaininF �-� -�� -- slill <br />,.. . Numbrr a[ persons in tamily , <br />,._. Niunl�cr of ruoms in building . <br />.I.lu� �)fCI1115CS nrc ln bc uscd ns n „- �J� ' !.__ ' � - . ,' . .; <br />'I-I,� uwncr of lhc premiscv is. _ . -. �,.. <�. �v _ . . <br />� r J.L[.t:_!. � C • i rc:. -. .. <br />,�...u� ngent is._.. .... _ .. . _.. _ . . _ . .�i :�i�, <br />I�L:s nppli� alimi. nlihnu(�h siAnoJ Irill nnl bc binding upan lhe Cily, until <br />:�:;.. ���d by lhc Superin�rndc Jnf lhr R'atcr Dc/rynrlmrnt. <br />Si�ned.......'�.�i��. >��G-(�S�C��j��t!l���.iS'pplicnnt <br />:A �,-��P'rd IB. H�� <br />�u�,i .�Inh�r�.ii� n�. <br />