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F..t�-'iQ !�—^I G — �-" -- w _r,rv r7 iz—�s—.z� �7 <br /> w. o. Fo�n,♦ �soo aa-n c.r. <br /> CITY Of EVCRETT==Water Departmznt <br /> Application for Water <br /> i\II blanks must bc filled in or cr��ssed nul <br /> F.ceret4____'______"__��_.`._�.�_".__'.191�.J—._� <br /> TO 7'HE SUPI?RIN1'ENUIiK"1' OF 7'!IE NA1'F.R UEPAHT\1EN1'. , <br /> CII'Y OF HVISRL'TT: ' <br /> 1 hereby appiy!or the use n(water in acmrdance u'ith Ihe rules and regnla� <br /> tinns n('Ph:Water U_p�*tm-n4 fur purposes �md fixturrs stated below. <br /> Uuring the timc �hat any nf ihe x�ater mains may be tal<en up bY �enson of <br /> any imprm�cments aut6orizeA Lr lhe Citr of liverrll. in or of an1' �.trert ��r alley in <br /> �vhich Uiey m���l' h�vc heen hiid. tiic l'ity«�ill not bc re9��ircd tu lurnish waler dnring . <br /> thc prn�re=s��f sudr improvemcnts tn nny aonsnmcr w'hn�c supply ma}•thus bc[ut . . �S)- <br /> o((.nr Uc Iiablc for any dam�iKe/s for}ite GiWre so[o do. � , .II <br /> APplicntion No.__��l�!-_�/"'__ / � . . . �!� 1 <br /> / .__LoL_'"_�7____ya'Add_'__""_'___"__ - ' �. �� , '�'. <br /> Block .�i__..-�� - �� - , - - I <br /> . O �.� - c—l'.�._�<. .Slrecl . .. �� <br /> J ~ �r .;'r_ . . �� <br /> \a../�_ _ _rfi _'_ _ " ' ' ' , , '-. <br /> ' "'_ "" " "_ "'_'""_ . -�Y,'. . . <br /> ._ <br /> . . _'"' '_ -.- .. • <br /> 'I'Bc work I�be execuled by_ ._ .__' ' _ ' Plumbcr . � � - r.. ��, <br /> Sta� size uf tap. --... � . �. .. � �I�I <br /> _6' � r., d <br /> __�9/-.Tnptobeinsertedinthemain. �5 — . . � .. ��,.�' <br /> _...'_"'_Watei cinset <br /> _"'_'__.Ilath <br /> _'.'___ .Lrinal <br /> ____.____Plain faucct insidc <br /> '__"'____Si.�r x�alk washer <br /> _'_""_""H��se bib oulside � . <br /> "_"'.. -Hosc bib forbuilding P���P��ses <br /> _"'_'__I losc b�b iuniJc <br /> __$ib fur stablc containing.__-___.--stall-___ ._--- <br /> __" _'.Numbcro(per.��mr.:in famil). <br /> _____'__'_Numbcr o!rooms in L.iildinq , <br /> ThePremisesaretnbeusrdasa___.___..___..._.___-____._'-_-_' _._.'. <br /> 7'heux�ncrn(thepremiscsis "'_"__'__'. _.'__'_"__'_"_'_'___'_"_ ., <br /> ThcaKcntis __"____".__. ___"_'..'____"____._.___'_'. ______..__ I <br /> 9'his application, allhnu�h signed.shnll nut bc hindinH��P��� thc City, until ao <br /> crpicd by 1'hc Superintendent o(thc 11'utc art � <br /> - <br /> Si�ned__....�. . � .17���1 - ApPlirant <br /> Accepled.�-�--f✓1.--`_-19T� 13y_.. -. " . � <br /> ____.._S.q-i�rirn:^c� <br /> ' <br />