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s <br /> , . <br /> W. o �o,m . � <br /> CITY OF EVERETT-WATER QEPARTMENT <br /> AFPLICATION FOR WATER <br /> A❑ blanks mus[ be tilled iu or crossrd uut <br /> Evcrctt, . .� - � <br /> . ...._. . ..._. _. . . . .. . .._19. '.�. <br /> TO TIIB tiL'Ph;RIN'PF.NDENT OF TIIE V✓ATER UEPpRTME97T: <br /> CITY OF' EVEREI'T: <br /> I hereby apply for Ihe usr uf wuter in accordnnce with Lhe rules and r�Gu- <br /> I:rtinns at thc �6'nler Department, for pw�poses mid tixtures stated bclow. <br /> During thc timc that any of thc wntcr mnins may bc taken up by rcason <br /> n! any imorovements aWhorizcd by the Cily of Evcretl, in or o( nny ;treet or <br /> nllcy in u�hich Rrey may have becn laid, the City will not be rcquirrd to turnish <br /> �vutcr Juring lhe progress ot such improvements to any consumer whose sup- <br /> ply may thus bc cul otf, or bc liablc for any damages tor ics tailure so to do. <br /> �. . � � <br /> � <br /> APPhcalion No � :.. � � C'. :_ C l,r ( %�'��.% l-' <br /> _... .... _.. . <br /> f3tock... . _.. ....... . .. .. Lol . _.._�nild�J....�../{{ l � �i �;�� i/ f- <br /> . . .l...w�._�.!.t z':.-.e1._., �G( ��- ' .�+-/ - <br /> No....__. .. q �l .. � <br /> ....._.....�Oti�.../ � . � � ' :.-C....Slrcet .. . <br /> ✓ <br /> . . ._._........_...... ................__...._.........................................................._....... . <br /> .._ _........ ... <br /> The work to Ue execuled by.. _ _......_. __. . _. _ . Plumbc: <br /> .. . .. ._._.._._. .. <br /> Stnte sizc nf t��p. <br /> l ��/ _... ..Tap to bc inserled in the main n <br /> .. ...\Vulcr cluset ~' i� ' l' � � c_ � �- <br /> , <br /> �_.� � /�. � �� i �. <br /> .'.f.....Bath ui* � <br /> �� �: � <br /> Urinal t� t.✓ b 5 � t <br /> ; �� <br /> ...__....._Plain taucr. insidc ! . . ;,iibu+ ��•�`' /� <br /> .......Sidc walk washcr � r <br /> . ... ..._Ifosebibnu�sidc ;:;. „ ,. 1,� 4'l�. � <br /> .._...Ifose bib fnr b�,..lding purposes <br /> � . . .. .....Ilnsc bib inside <br /> . .......I3ib tar stablc containing__ ._.._ __ .slall._. 1 <br /> _Number of prrsons in family � , • �`- <br /> `. ._.Numbcr of roums in buildin� � r�� -��� J '��'"' , `� <br /> 'Phe premises �ire tn be used as n_.. . . J �� ., .. . <br /> � :_r .,.,..___ . ... . .�J......... . <br /> �I'he nwncr ot lhe premiscs is. .. . .,. . . h'> � �i ! C.lL_r�'� <br /> ._._.. ._. . .. .. _._. _.... <br /> 'P:�r agent i9...... ..__._. ... . ._. . <br /> 9'his npplicarion. althnuph sipnrd. :=hnll not bc hinding upon thr CitY. until <br /> ;u��r�rt��d by the Superin�ictpf)LXf ihe \5';�ter Uc�i;u�lmenj. <br /> J <br /> Sil'nrd � �/.. ,�7 :� ,- � � �4� . <br /> - , i . � <br /> . - -.. ...Applicant <br /> .\��r��p'.��,I IP. Hr <br /> tiu,rrintrn�lrnt. <br /> � ls � � <br />