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�-� s-�.::� , �,-��-9. a-Ei-z-w- •--� <br />. „ r. , <br />N'.U.Ibrmq—��00—EP.Co.—b-86-Ri � <br />City of Ev, ^-t�Water Depai•tment <br />APPLICATI�N FOR �TATE.R <br />All Llanks must bc filled in ur crossed ouC <br />Everett,....._.........��.% ...192...(1. <br />.. .............. .. . . ............ .. <br />TO Tli� 5UPERINT�NDrNT OF TI3� R4�TER DEPARTnIENT: <br />CCPY pI�' EVERBTT: <br />I hereby apply for the use of tvater in nccordsnce �vith the rules nnd tegu- <br />Intions of thc Nater Dephnrlmen7, for pmposes nnd fistures stated bclow, <br />of anynimprocements uuthor d byttha�City ofnEccrett, n orkaf any�st cetbor <br />alley in which tlmy mny hnve bcen Inid, tLe City will not he repuired to furnish <br />�cater during Uie progress ot sud� imprm•ements to any rnnsumcr whose auPP�Y <br />may thus Lc rut off, or bef iliaLle for uny dmnuges for its fnilure so to do. <br />PPlication No...... ...4......... — � <br />A � .............�"35 <br />Biock ............._�.c?'n............. Lot............_..`�.s�............. Add................ <br />G�' �/ , � ........................... <br />No.......__.�...�...Q.. . �.......Street <br />, . .. .. ... .. . .. .. . ....... . <br />The work to te exccuted by ....................f%�.T <br />..._......_... . .. � ` mber <br />Sta�t�e size of t¢p. / y'�/� (f-7 �i. /„�,_ey'�`a,.,�- �� <br />._.:L..y...Tnp to b� inscrted in tlic main. <br />���-..�.......Nntcr c.oset � � <br />..... �........Bnth ' ' � ., ' . � <br />�. ' � . �' �, `�' <br />................Urinnl , , ! , -, ^ �-� `..� <br />.......�?r.....PLiin faucet inaide :.'t; �r �'��:;- j�/'�;rilt�t f,:?'1 <br />...Side tcalk �vnshcr � C�i .. <br />......... ................... . <br />� _. .__....... <br />......./........Iiosc bib outside � <br />•����.....:-'Iiosc bib for building purposes � � <br />........:.:.....Hosc bib insidc <br />-��_.::...-...IIib for atnble containin <br />� .................... s t n l I.................... <br />••���, '/....Number of persons in family <br />...... <br />�� 7.......A'umbcr of rooms in building <br />•^emises nrc to Le uscd us n. .......... / � <br />/� .. � ... ...... . . ......... <br />:vner of thc premises is....�._(/��c� t�i �������"� ""' <br />:�..�,/'.[c.r.... �c..�..-.� <br />,,. �C iA............_.__ . . <br />K. <br />. _ .................................. <br />� �tion, nithough signed, shal: not be bindin <br />` °��p/�nten ut of the ��er D p� s°Pan the City, untfl <br />, , rtment. <br />" .. ..... ................... � • <br />........ f ...................... <br />�PPlicnni <br />✓�, '�—�....102�g : BY..�- .. <br />...................... <br />. ... . . <br />� ............................. <br />-Superintendent ��� ,/ <br />.. .: __ _. _,�.�. � V <br />