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'. _. . . i'la�" • <br /> fif'���' <br /> . � <br /> W.D. Fmm 4 l ' � <br /> CITY OF EVERETT-WATER DEPARTMENT <br /> APPLI�ATIOI�T FOR WATER <br /> All blanks musl be filled in ar crossed out <br /> -- / / � / , <br /> Evcrett�...............................:......�........./..........................19..K�..J <br /> TO THE SUPERINTENDENT OF TF4E WATER DEPARTMENT: <br /> CITY OF EVEI2ETT: <br /> I hereby apply for lhe use o[water in accordance�vith thc rules and reBu- <br /> lations of the Water Department, for purposes and tix ures stated bclotv. <br /> � During thc time that 2ny o[ lhc water mains may Uc taken up Uy rcason <br /> ot :my improvements authurized Uy thc City of Everelt, in or of any slreet or <br /> alley in whfch lhcy may have becn laid, the City will not bc required to furnish <br /> � we.ter during the progress ot sucl� impravements to any consumer whose sup- <br /> ply may lhus bc cut off, or be !iable for any damages for its failure so lo do. <br /> Applicalion No.......f��./.�....� <br /> Block........................................Lot...........5..... .................. Add............. .... ............... <br /> � �, �, r�J <br /> No.........................�.�.3....�.......��>��.rL.,l:t.st iCQ��......�.7�5lreet <br /> ..................................................................................................................................................... <br /> The work to Ue executed Uy........ ..................____.....__._..__ .._-_............Plumber <br /> Statc sizc of tap. <br /> � i, <br /> �,/...........Tap to be inserted in the main. <br /> r <br /> ... �Vatcr closet <br /> �... <br /> ....�_gl...Bath �q p <br /> ;��r �p � �; a �-�- <br /> ................Urinal J1 L�d d L.� �r <br /> . ................Plain taucet inside � �J�-� J4 <br /> ................Side walk washcr ,����� 1 'p5 ,506� <br /> ................Hosc bib outsidc <br /> Hose bib for building purposes City Of Eve�ett S �L � <br /> ................ L(i � <br /> ................tIose bib inside yVATER DEP_� l� ��-o d <br /> .. ................Bib for stablc containinG.................._�tall............._..... <br /> ........_ _ NumUer ot persons in family <br /> . ..... /�...TQumbcr of rooms in building ' <br /> >�,_��U ����' <br /> Thc premises arc to Ue used as a.......................... . . <br /> ... .........:.. <br /> �. ..... <br /> The owner of the Premises is............................__....Q�.��.,,��L�2,._�'4i..__.. <br /> TSeagmt is......................................._._.._....................................._.._.........._.. __._.... <br /> This applicntion, although siFned, shall not bc binding upon the City, until <br /> aceepted by the Superintenc n u[ the Waf�er Depyarlment. "�/J <br /> Signed......�h.��� '.....C..�`���.lY'..F:.u.^.Applicant <br /> Accepted......._..._...._._..._......... .._..19....... Sy.................................................................... <br /> Superintendent. <br /> —t: , <br />