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Civ� — "iu/. . <:, <br /> L/� ' r v—, . .. � c._ ' � <br /> W. D. Form � I500 J-I-17 C.P. <br /> CITY OF EVERETT�=Water Uepartment <br /> Application for Water <br /> .411 blanks must be filled in or crossed ou[ <br /> 'LG/ .� <br /> Evcrett._..__..___' 7 ____(. . - _141-::�. <br /> '1'O 'fHE SUPERINTENUENT OF 7'Hti WATER DEPARTEtENT, <br /> Cl7'Y OF B'VERETT: <br /> 1 hereby apply fur the use ot water in accordance wilh the rules anJ rrguln� <br /> tiuns uf The Nater DeparUnent, (or purposes and fixtures sla[ed helo�v. <br /> During the time lliat any of the water mnins ma�•be taken up by reason o( <br /> :my imV�ovements n�ithoriud b�� the City ot Everelt,in or o( any sVicet or alley in <br /> which they may havc been laid, the Cily ��'��� not be required tn (umish water during <br /> the pmgress o(such improvements to nny conswner whase supply may Ihus be cut <br /> . nff.or be liablc far any damnges (or its failure so tn dn. <br /> Applicntinn No.'__"��_' "��----'- <br /> Ki�,�k .- ---�-�-7— ._t.oc._�--8- ---------nda --l_Q.�.Jt.� , <br /> \u..._'.-_�_7././..�=etc'2-��--�1-.---..St reet <br /> -----'-----'------- � --------------'---------"---'---'------------ <br /> 'fhe aork to be esecuted hy______'___"__ '_._'__-_"_..'_____" Plumber <br /> St�e size n(l�p. // ,�— I S,`p <br /> _�t,,.__Tap tn be inserted in the main. �y —� <br /> _"_�____Nnter doset <br /> "_{'___Eiath . � <br /> "'."" .Urinal . .� �. ..i�`� � <br /> _""'___.Plain 6�umt in�ide .� ,� � ��.�' <br /> .. A�� �. <br /> ______'__.Sidewalkx�asher .>. � ' •;. <br /> ,. i.'�F. (�7f '., <br /> "_"'_._Hoscbibuutside „ :` , <br /> _"Ilosc bib tnr building purposes � <br /> """_ ' <br /> _"______ilosebi6insidc 1,� .:% ' <br /> _"""'_Ui6furslnhlecontaininF--""�---stnll.___"" ���/ '� <br /> '_"__y_Numbcrof D«uns in family . , ,. �. <br /> __'_�j.__"Number of ronms in building . .- <br /> Thc Premises arc to be used as a----"-'-"'---'---"_""--"--"-" '_"' <br /> ThcownerofthePremi.esis __"'__'_"__"_'.___'_ __'___'_.____'_'___ <br /> Thcagentis .---'-----"--� -------'------- '-- �--"--"--"'------------ <br /> This application, nithnuy;h signed.shall nut bc binding upon thc City, �mtil ac- <br /> cepted by The Superin�endent ot th'e nNnte •parunent. � <br /> \ ///p /( <br /> Signcd __.`�..__/-1--'_'. _�__ _______'___Applicant <br /> Aceepted..__ _.._ ' __' liy___ _,, _'_ / <br /> . _ ( <br /> �- _ �' . �� �' �__��Si..�inten]em <br /> �� - <br />