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_ ,�. � � <br /> �xL¢_rti��:_i�-��:` .�.,�w-� 3- /`�-''� v'y�'t� <br /> . ✓w.n.ro��—icoo—s.r.co.-e-zbzd � <br /> City of E.verett�Water Depai�tiner�t <br /> APPLICATION FOR WATER � <br /> All Llonks must be filled in o cro�sed out <br /> Eccrett........... . ..�.7.'_/."""'_3..�.....................192...... .-, .. . . . ' .I <br /> TO TII� 'iUPERINTENDENT OF THP R'APGR DGPA12TnfENT: <br /> C[TY OF EV�Ir'sTT: <br /> I hereby npply for thc use of tvater in �snr�iance teith thc rules and tegu- <br /> Intiuns ot thc R'ntcr Department, for pu-•po� i nnd fixtures stated bcloa•. � <br /> During thc time thnt nny ot tim aste: mnins mny be tnken up by reason � <br /> of any improvements autlmrized Up Ihe C�t��� of Eccrett, in ur of nny strect or <br /> nlley in which they may hn��e becn lnid. the�City will not bc icquired to furnish <br /> �vnter dm'ing thc progress of sucU impro��+ments to nny consumer whosc suPP�Y <br /> mnp thus Uc cut off, or be liablc far nny dun,nges for its fnilm�c sa to do. , <br /> Applicntion A'o....�/S.2.-:................ � '...,� i <br /> - Block....�iJ�.._S_��.................... Lot._.3...�...-.�..�l.-..-3d.... Add.............�...'.��............... <br /> No......./..3./._�-�.......�-G�f�t�.�..............Strcet <br /> .............................................................................. ................................... <br /> Tlic work to 6e eseculed by..,..._.........._.___..��............_...a......Plumber <br /> State aize of tup, o � <br /> ....��.....Tnp to 6e inscrted in the mnin. /� <br /> ...._�.........«'atcr doset <br /> ....1..........Bnth <br /> ..._�:,......Urinal <br /> ....�.........Plnin fnccet insidc . <br /> ...X.......Side n�alk tenslicr , . • . <br /> .....�......._Ilosc biL oulsida :��� ' . . . <br /> r <br /> ...L�........Hose Ui6 for 6vilding purposes ,�, � ' <br /> ._.`..-........t3usc biU inside <br /> ...L.....Bib for staLle contnining...................stall.................... <br /> .....C,.::.....A'umber of persuns in Sumily <br /> /��... .Numbcr of rooma in 6uilding�y � <br /> The ;remises nze •., bc used ns ¢........�/.././..�.........�.CC/�-f/11�.�.............. <br /> hc c�vncr of tho Premises is.............!'...........:..........................................._......_..... <br /> �n nger.t is...................................................................................................................... <br /> ' �ppl�cntion, althougl� signed, ;hnll not be 6inding upon the City, until <br /> ey tho Superintendcnt poC tha Nnty���D/e,'yattment. <br /> SiEned ..............�.o,.GJ.l.lyl�!.......oC,-,.�.fJ�".�"1��........ APPlicnnt <br /> . � / F� <br /> �]/.�:..�_'192...... BY... . .... ,:�,- �.. ..... .... .... / <br /> .. .. ..... . <br /> � �e�erintendent i <br /> _^`�_— <br /> � e <br /> }.�. <br /> ,�� <br /> ,g <br /> '�e, <br />