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_,/,� / <br /> W.0. farm� � � / � <br /> CITY OF EVERETT—WATER DEPARTMENT <br /> APPLICATION FOR WATER <br /> Ail bianks uwst be filled in or crossed out • <br /> /T� t , ,: <br /> Evcrrtl,._ . `.._,,,�. .' � .. ..^ �� ... .. . .. 19. ._.. <br /> TO TfIE SUPF:ItINTENDENT PF TIIE WATER DEPAhTTtENT: <br /> CITY OF EVF.RETT: <br /> I hr-eby npply for lhe use ot water in necordanee wlth the rules nnd re6u- <br /> lalions of the Walcr Departmcnl. tor pw�p�ces nnd fixlures ctnted be]ow. <br /> During thc lime lhnt ony nf ihc water mains may bc laken up by rcason <br /> ut any im�ruvemrnts nutharizeJ b; the City �f Everclt, in er ot any strcel or <br /> allcy in w��iich lhry tnay h�ve beei Inid, lhr Qly will not Le required to furnixh <br /> v::�ler during the progress ot s�ch impruvements to any cansumer whose sup- <br /> ply may lhus be cut olt, m� bc liable for ;my dama�es [or ils tailure so ta do. <br /> Application No.. �.^'...1 �'� <br /> .... .............. <br /> Htock_._ .____.. .... ........._ [.otS . . . . . ........ Add.. .. .... .. . <br /> o...._..� f2.i_ ./(� � �..� . �1. .... ..__Slrcet <br /> ' n n — s._ i i v/ :�- . . <br /> �/.L.«.,.:.� L ....`�� .. ........ f a?...�l'r . a ._..G.n..��__�t l . .:._ — <br /> The work to be executed 6y . .__.. . ._.. . . . _... .. . _..._._. . _, P:umbr� <br /> Stn(G sizc nf tnp. �� � <br /> l ._.Tap io be i: ;crled in tha m�in. � � - <br /> _.�.�:...Wat�r doset ' ' <br /> ,. <br /> ._.........._.Bnlh <br /> . . _._....Urinnl .- �Cy -, <br /> . ._.._..Plnin fauccl insidc - � � <br /> . .._....Sidc wnik washcr � F�� � <br /> .-. ._.]tasc bib oulsidc � � , <br /> _....._Hosc bib tnr building pm�pnses <br /> .___...Itnsc bib inside <br /> . _.._...IIib tnr slnble cmitnining... sL�il <br /> ...Numbrr nf prrsons in family <br /> �._Nwnbcr of rooms in Uuildinq <br /> 7'hr premiscs nre IO UP U9ClI ns n... . . . � ,. <br /> 7'hc owncr u( lhc prrmises is.__.. .�._.. �. ... . i� . ; _. . ..: _. .. �.:." <br /> Thr nl:rnt is.__.. ._...._... ... ._ . . . . ._ .. ... _. . . ..� . . . <br /> 7'lus ;ippGr:rtion. ullhoutih si�ned. <hall not bc bindinF upon lhr Cily. until <br /> nrrrp�rd by� ihr Superinlrndenl nt the �t'nlor Pepartmen�. <br /> Sir,ned. . .'._. ' ..' ... '.... _. ._... . .. ' . •..'.. . ..._ApPlic:mt <br /> A��rrpird 1^. ❑}� ' .. <br /> Scp�,rinirndent. <br />