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1 <br /> . I'� <br /> I <br /> ✓i.nl'J�i'/"N'�'_ <br /> . • -.^I,I�IC�� {�.� � r� �A�•!. <br /> l/ � . <br /> \V.l1.Forml--iL40—EP.Co.-6-:6•2C � <br /> City�O���verett�W�tei• Department <br /> �'�PPLICA'fiION FOQ WATER <br /> All blanks must Ue filled in or cruesed ovt <br /> Ecerett�................_....__....(�l..f..........................._1325/ <br /> TO TIIE SUPERINTEND�NT OF THE NATF.R DL•'PART\fEI�,T: <br /> CITY OR EVERETT: � <br /> I hcreUy apply for tlm use of watcr in nccord::ncc with ttie rules and regu- <br /> letimis of lhc Wnter Depnr[ment, for �mrposes :md fixtures stnted bdo�e, <br /> During thc time thnt any of thc �vater mains mny be taken up by rc�son <br /> ut nny improecnunts nuthorized U� Lhc City of Ecerett, in or nf nny strcet or <br /> allcy in which ihey mny hs�•n, been )aid, thc City rvill not 6e mquired to furnisL <br /> watar during the progress of such improcementc to nny consumcr �vt�ose suPP�Y <br /> may thus Ue cut ott, or be lia�ile for uny damnges for iis fnilure so to do. <br />.. Applicntion No......_.._-..�:��..`.:.,:!.......... ; . <br /> sio�k...............�..l..�l............. �c_3.:.:f.f....................... naa.L�.::..�.�.._�_......:....,.::.:..: � <br /> No......_.�.�.�._5.....��-SrI,J-,�A�{.................StreeY ; . . , ,'. . . .. <br /> ............................................................................................................... ..._................................ <br /> The «rork to bc executed by......._........._...... _.....................Plumber <br /> - -..._._......_..... <br /> Stnte eize of tap. <br /> .Z � a <br /> r <br /> ........._Tap tn be inscrted in the mnin. , I a <br /> / I/ .� _ �j .�- <br /> ................Nnlcr Closet 2 <br /> ....L..........Bntli . <br /> ....�.-........Urinnl � � .rFr� <br /> ..�...Plain fnucet insidc i t'f ' . �� <br /> : , ; <br /> .....,,...,._.Sidc wu]k washer � .. �. <br /> .....--:::�....Hosc bib oulside (((yyy��� � .. �,�' . <br />� ........:.......I�osc bib for Luilding �iurposes '�/ , <br /> 'I I ,. <br />' .._r..::.......Iiose bib insidc <br /> ...............Bib for stablc containing....................stall.............._ � � <br /> .... <br /> ........ .�Qumber of per:ons in fnmily <br /> , ..-....}......A*umUcr ot roon�s in building , <br /> r� �.� � . � Thc premises nrc ta be uecd ns n. ......._ . .. J ...................... <br /> -"��� �. � �. �� 1'lie oa•ner of the premisea is...�-7r,.�fl-z,J-p.-•-�,.�--��,.,fi(—r.z�.,.� <br /> ��{ � *: . � - � � � The agent is..............................................................._...... ............ <br /> , . .................................. <br /> �1'his npplicnlion, althougl� signed, ,ha11 not bc binding upon Lhe City, until <br /> �� ; , , � -;:ted �; the Superintendcut of thc Nntcr Depnrlment. <br /> �`; '�' . . . , . Signed..........�r._ � <br /> ..... .'xz�T"^*'�J'.�ZT. Applicant <br /> � .. ... ........ � <br /> ..1L.;;�./...............1D�„5.- � Dy...�/l . ...�.... <br /> .... .................... <br /> i "� uperintendent <br /> :..y. <br /> l� <br />�'���' <br />