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"".�, v-H-�� i� �...�.�1" 8_�x-� i_/�-;+.`: <br />, . .- • <br />W� D. Farm 6-1L00—E.F.Co.-6•R6�21 ' ' <br />City of E,verett-�Water Department <br />APPLICATION FOR WATER <br />_ All blunks must be filled in ur crosaed out <br />Isverett. .....................fcitic.. .. �`..�.................13? .�.... <br />TO THE SUPERINTENP.ENT OF THP NATER D�RTMENT: <br />CITY OF EVEI2ETT: <br />I hereby apply for the use of water in nccordance with thc rules and regu- <br />Intions of the Water Department, for pm�poses nnd fistures stated below. <br />During the time that any of thc water mains may be taken up by rcason <br />of any improvaments eutl�orized by the City of Everntt, in or of eny atreet or <br />nlley in which they may hare been ]nid, the City will not be reqvired to furniah <br />water dnring the progress of such improvements to any consumer whuec aupply <br />may thua be cut off, or bl�/G linble for any danmges for its failure so to du. <br />Applicntion No..........Q...�.�%..�......... I� i , <br />Btack .............�..� / / r I �.11^. �� .)..., 1 i <br />................. Lot......./..y.-.......J............. Add...:...-................:...:.:.:.....':�a <br />No ................�..%.�./��----�'r.t'°PLt.�.e.�.......3treet �� <br />The work to be executed by.� ...............D.............................. ........... lumber <br />�State izr. of tap. �,j� � — �(�(� (J •� �'03 <br />..TaF to be inserted in the mni <br />..............Weter closet �'��� y� �� ��.�/t� ����� <br />............Be�h �,(' 4 /� <br />............. . <br />.Urinai "�—' ��� `" ��- �'"�� <br />............... Plain faucet inside G � � � , - � � - <br />� ✓GCi�c� ' � . .. � : <br />........._.....Side walk wasUer '� ' .; � �.. ' � � ' <br />i„ <br />................Hose bib outsidc � .-. .` ; : / � �. . <br />................Hose bib for building purposes ..._„ � <br />................Hose bib inside <br />................Bib for stnble containing....................stall.................... <br />�� ..............Number of persons in £nmily ' <br />................Number of rooms in building <br />The premises nre to bc used as n ........................._..................................................... <br />Theowner of the premises is ...................................................................................... <br />'Ihe agent is ................................................................. <br />..................................................... <br />i �is upplicntion, althouSh� signed, shnll not be binding upon the City, until <br />: ed by the Superintendent of the, }i'nter Department. <br />,.:cpted... .��....��� ...........197� <br />� <br />