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� _ :_- , <br />� <br /> /�� �` ' ' <br /> w.o.Fa�m a <br /> CITY OF EVEREIT—WATER DEPARTMENT <br /> APPLICA�'ION FOR W��TER <br /> All blanks must be filled in or crossed aut <br /> � .........19_C�:_5. <br /> Evcrett..................._.......�.��..�>.��.......... <br /> TC THE SUYERINTENDENC1 Y QH EVERETTDEPARTMENT: <br /> I herebY applY [or tlic usc af �vater �n oses nd fixW�resthtat dcUelod regu- <br /> ]ations o[ the Wa:er Department, for purp <br /> Durin6 �>>e timc lhal�any o[ the�hc City of�E erett�rt�or o[ any slrect or <br /> o[ any imProvements aul.orized bY <br /> allcy in wh�ch thcy m1Y ss of s�ch inprovements tol anyconsumer�i lwsersup- <br /> watcr dunnE thc p��6" <br /> ply may thus bc cut o[[, or br, liablc for anY dama6es for ils failure so to a. <br /> ppplicalion No..,! f ��...�...... � <br /> ......... , -, <br /> . �q.-_c.R:F"`:..�.. <br /> .............. <br /> ..... <br /> Slock................................... Lot.......... ............................ A :.: <br /> � ��«:.:�-...._£?=�...................Strcel <br /> xo..........���.�...._%.�1�....�.... <br /> ..... <br /> ................................................................................... <br /> ............................... . ...........Plum er <br /> Tlie work lo bc executed bY............................................................ <br /> Stalc size ot lap. <br /> .,_,j�...Tap lo Ue inserted in the main. � w� <br /> ._._..,........�4atcr closet E /3 ��� S <br /> ....�.......Bath p, <br /> �� � p �� <br /> ................Urinal Ji�'�(, r:�_�la 33'� <br /> '^ 'v � <br /> ................Plain taucet insidc R1� �' ,:jr�v a <br /> '� <br /> ................Sidc walk washer r�;�.. �of- <br /> ��„ 4� �,, <br /> ..._FIasc 6ib outsidc ._ � <br /> .__.,,.......Hose bib for buildin6 P��'Poses . , �� t� <br /> ................I�Tose bib inside <br /> . . stall.................... <br /> ................Bib for slablc conta�nmg.....��.��������--" <br /> ................NumUcr of persons in famill' <br /> ._..��. ......IQmnbcr of rooms in building <br /> . .........._....................................... <br /> Thc P�'«nises arc lo be uscd ns a......_................_.. <br /> . ........._._........... <br /> The owncr of the Premises is_....._..........._.........._...................._..._. <br /> ................................ <br /> . <br /> ..............................._.... <br /> T;�e a5ent is....._.............................._....... <br /> This application, althouFh 5�6ned, shall ot bc binding upon the City, unti] <br /> accepted byOhe Supermtende t o[ the Wa r De artment fl X <br /> ......./ ...�� APPlicanl <br /> �� -r_���.. fr.... <br /> s�s��j.......1......... ... <br /> .......... <br /> AccePted........._..._................_.........19....... y..............................superintendent. <br /> —Ca. '-a_ <br />