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, <br /> 3:,.. . <br /> ,��. <br /> - � �, v <br /> � , , �: <br /> � �� ��� „ <br /> ��_°.� �, <br /> � <br /> �J-J "h"�. . �` �� �^7� ' I <br /> W.U.Form d—IGOD—E.P.Co.-6-2G."� � ' <br /> City of E,verett�Water Depai•tment <br /> �PPLICATION FOR WATER ' <br /> All blanks must Lc filled in or cros<_ed out <br /> . — I <br /> $t•crett..............�/..�.�..�.�......_......................................1'J2:S... I <br /> TO THG SUPI:RINTINllBNT OP THE \��qTTR DEPARTE1lN1': <br /> CITY OF EVEItETT: <br /> I Fereby� app;y fur Lhe use of wnter in accordance«�i:h the rulrs and mgu- <br /> Intions of the Natcr Department, for �mrpo�es nnd f:xturc5 stated below, I <br /> of nn}•llmprove'mcnts uuthurzed Lv the}�City ofnEvcrct[ i�n or�of onf�st ect9on <br /> ullry in which tney mny hnve bcen lnid, the City �cill not be requireci to fumisB <br /> wnter during th� progress of such improvements to nny consumer who=e supply � <br /> m:i3' thus Le cut otf, aGr be ]inbl�for any damnges for its failurc en tu do. <br /> APPlicnlion A'o..a..�._7_3................. . �I <br /> sio�k........._�..�._............. .... �e......... 3.o aaa... ...... ._.._.__ <br /> /� <br /> — _... <br /> xo....... ......... ......... ' J�............. <br /> r� � o ls ' ......._ . . ._... .-%.a.............Street � <br /> .............................._.............._... <br /> . . . .................................. . ...................._......._......._....._....... <br /> �-.� <br /> Thc rvork to be executed by�� ._c-t7�G{i7 ...,_ . .. ..._,..Plumber <br /> _. _..... <br /> Stat size of :np. / <br /> ������/// �� <br /> '3��...Tap to be inscrted in the main.��;J'�/ ,Uf/ �f . � ��'C, G <br /> ..aZ.........R'ntcr closet - � ( �o <br /> � � � <br /> .�. , �. , . Q _._. <br /> .o.Z........Bnth `,, , ;;:. . •7 <br /> ...�.1�.........Urinul �,�L�. „/`j1u�L <br /> _./...........Plnin faucet ineide <br /> ��_.=.........Side n�nll< �mshcr <br /> �-�%........Iiosc bib outsidc <br /> �--- I�ose bib for huilJin � <br /> .._�...._ g purposes ,• <br /> .__......:....Hu,e LiL ineide �% <br /> ��....BiL tor stnLlu cont.ninin � <br /> ............ g....................stall............._. <br /> G .... <br /> �...............Numbm• uf persons in tamily <br /> 3��-3......Numbcr of rooms in building <br /> The premiecs ere to be used ns a ...... <br /> �:.e��........... <br /> 1'lie o�encr of the premiacs jsr��/�(��`� <br /> � 1 Pt,�-�..r. .... .................... ...... <br /> Thengent is............................................................................... <br /> . ............................... <br /> Thia apptication, nithough si�ied, 3hall not ba binding upon the City, until <br /> ncce�ited by Lhe Superintendcnt of IFe \Vater Department. <br /> 5lgned�.....G....t......�r......� ........APPlicant <br /> ................... ........... <br /> Accepted...... . .... .. . �1'J2...... D ' <br /> .;<-�G•�s Y.... �:................................ <br /> �perintenden� <br /> k <br /> i � _ : T�� <br />