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� � <br />W. o �o,m . <br />/! <br />CITY OF EVERETT—WATER DEPARTMENT <br />� APPLICATION FOR WATER <br />AII blanks musl be filled in or croxsed oul <br />Evcretl�___.. . . -" �_ '� �_.(./.__ .. .. . 19 °� v <br />'PO'P11F: Sfq`}:RIN7'F;NUF.M1'f OF TIIF: R'ATF.R DEPARTME'IT: <br />CITY OF F.VF.RETT• <br />1 hcreby :ipply fm� lhr usc o( walcr in nccnrdancc a�ilh lhc rulrs and roFu- <br />lalions af Ihe Wnter Departmrnt, for pwpnses and fixtures stated brl��u•. <br />Durinq thc limr that nny of thc w:rtrr mains ma}• bc taken up by rcasnn <br />of any impravemrnts nuthorized by the City of F.verelL in or of nny slrcrt ar <br />nllcy in �ahich thry may iiacc bccn laid, lhc Citt tvill nol 6c trquirrd lo furnish <br />�vater durinti lhr prntiress of such itnprovements to nny consumer whose sup� <br />piy may thus be cut utf, or be IinUle tor any damages tor ils tnilure so to do. <br />Applicalinn No._. _/C.�..,2'....i.'_.. <br />lllnck _._. ._..... .. __.__._. Lot .. ... Add... .. . <br />tin ..=..:/<�_.� ..�.1�., r (r f. _5:.s.,v.... ._. ._ .. . .. Slrtcl <br />._....._ .............._.. ._.__ _....... .... _.....__ _.._. ... ._ .. <br />'Phc work tu he execuled by.. ..__... _ . I'lunibi�� <br />:;(atc sizr af tnp. <br />.__.7'np In bc insrrtrd in thc main ^. <br />_....R'ntct' clnsel ��1�� <br />.. _.IIath �. f . . <br />.. Urinni C�; � . . <br />. ..Pl;�in Inucc: insidc N'�,�`: �,, . a 1"�� <br />1' <br />. _SiJc walk tvashcr ' . , <br />� ._... llusc bih oulsidc <br />._.... Hosc bib fm' building purpn�c^ <br />..... liase 6ib insidc <br />. .I3ib fm� stnblc containin� =L�11 <br />.. Number n[ prrsons in f:unii�� <br />- Kum6cr nf room�. in builJiiv� <br />l'I�.r prcmises arr ln be used ns :i <br />7'hr owncr of Iho prcmisos is . <br />'I'::r nprnt is.. ... _...__ ._ .. .. . <br />"fh:. ��pplir:�tiun. nithnuFh sipned. ehall nnt br binding upon thc City, unlil <br />:�rn�pled by lhe Superin(rndenl nf Ihe R'nler Depm�tmenl. <br />Sinncd �.�:.4�... .i� ..7�) ... � <br />_ . �`f./.:..s-,,..' ._. Applicanl <br />:\-�.���p�.r I I^. Ilv <br />tiupi•rin�rnden�. <br />