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� <br /> ��.- <br /> w � Fo,m. <br /> CITY OF EVERETT-WATER DEPARTMENT <br /> A,PPLICATION FOR WATER <br /> All blanks must be filled in or crossed out <br /> F:ocrett._._.. . . . . . .�:.�..�.�:.�.. ._. .. . . 19.�',s� <br /> 7'U 7'IIF: til'1'F:IitN'1'h:NDENT OF TIIA: 1L'ATI'sR DES'ART�iF.P'7': <br /> GTY OF EVF.f;ETT; <br /> 1 hereby :iVD�Y �or the use o[wa[cr in nccordnnce with the ruli•s and regu- <br /> I;rtions u[ the Watur Drparltnent, (or purposcs nnd fixtures sf;drd bcluw. <br /> llurin� thc timc lhat anp nf lhr wal��r mnins may 6c taken up by rcason <br /> ��f an5' ����P�����'�'�nems aulhnrized by lhe City o[ F.verelt, in or of :ml' street or <br /> :Jlcy in which lhcy nwy h:rve '�cen laid, the City will not hc required ta furnish <br /> �c:�ter dw�inR the progress of such improvements to any consumer whose sup- <br /> ph� may thus be cut uft, or bc liable fur any dimages fur its failure so tn do. <br /> Application No%.f��.:��.fPf�...._.__.. <br /> lilnck.. .... . .__._ __..._ . ..._ Lat .. ,%.`.� . .. Add a ' r'_, [. ,�. . r' %. " <br /> N��. ._._ S!.^/%........�.� K..� _•�,... _[���......... .. . . Slreel <br /> _.........................._.. ._.__...._........_._ . _ . ... . . .. . ... . _ . . . . ._. <br /> "Pho �rork to bc exceuteJ hy_ . . Plunihcr <br /> ;',i.dc sizc o[ tap. <br /> _. � _Tap lu bc inscrtvd in thc m:i�n <br /> ._.Wnlcr doset <br /> IIath <br /> Urinal <br /> _Pl��in fnucet insidc <br /> _Side walk w:�sLcr � <br /> � . . .Ifo�e bib nutsidc � ,. <br /> . ..Hose Lib far building purpases � � <br /> ifnsc bib inside <br /> _I3i6 �ar slablc rnnh�ininF �f:�ll <br /> ..Numbcr o! persons in famil,. <br /> Nwnber of rooms in Uuild.np <br /> �I�I..� picmises arc tn bc u.ci�d as n <br /> "I�!•��� mvncr of thc prentisos i� . . <br /> 'I�:�,.. uCrnt is_ . ..._ _. . ... . . <br /> .fl..: ,ipplic;rtiutt, .�Ilhnu�h r'i�ned. sholl nol Le binding upon ihr CIIl'. ����til <br /> .r,opn�d 6}• the SuP��inlendent y[ ihc R�atcr DRhn�'tment. <br /> �� ,/ ,� . .,.-. <br /> Sicnrd/ / 1�.. !� � .� �, : • . � ., , �... Applie:ait <br /> 1 <br /> .A_ ., I,'., � io. Rc . <br /> � tiuprrintcndrnt. <br />