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l <br /> �/{�T�J %- N-�� �- E ,.n �.. � . � -. - , <br /> . _ 'v . <br /> � W. 1�. Fonn � I500 3-I-17 C.P. • � <br /> CITY OF EVERETT==Wat�.r Departme�at <br /> Application fc�� W�:��er� <br /> , <br /> All blanks mus[b� led in o� crossed��� <br /> _ � <br /> i <br /> Everell._"' � _'_'___"1 "_ " <br /> TO TIIE SUPIRINTENDEN7'O E 1VATLR DEPARTMEN'i, <br /> 'T OP 8'1ERE7"f: <br /> I hereby appl,v (or the u u(�eater in aaordancc with lhe rules and regula- <br /> tinns of The \Vater Uzpartm=nt, fur purposes and fixwres statcd below. <br /> DurinF; [hc time lha[an}'nf the water mains may bc �aken up b}' rcason ot <br /> any improvements authorized by tlic City��f Evercu,in or of auy strcet nr alley in <br /> a•hich LheY�»�Y have been laid, thc Cit)'w�ill not be rcquired to (urnish water during <br /> the prngress of s�.h improvements lo any cmisumer whose euppiy may thus be cu[ <br /> nf(, nr bc 1ia61c tor anp daymages f�-its L•�ilure so lo do. <br /> / ud <br /> ApPlirntinn/ No."�__' "___"__ <br /> 131nck _.(0.�./__ '.---LoL--�V- '�-�—"-'_Add----- - <br /> --'----- <br /> No..___. _���'l0 _�n%_�_l_'_7�_'.__"..Strcct . <br /> "'_'.__._..______ ' _'_"'__'.-__.'._'___'____"'________'_______'.__"'_. <br /> 'fhewurktoUce�ecutedby__'_'__""�_' ._.____.__"__.._ Ylumber <br /> i <br /> � Statc�izr ut tap. ..,/Q <br /> . �. „ G o - r�. <br /> �-'fap to be inserted in tLr main. Q _. . . <br /> __' ? '__1Vatcr da:ec , <br /> '- .- 7...13ath � <br /> ___.._�_ .Urinal <br /> '__ "___Plain (auttt insidc J�=-� }, : � <br /> '__ ""Sidrwalkwasher � '�' �iCl�i.��� . <br /> r �- ' � <br /> '-'- - ._Husr.6ibmLLsiJe .��� <br /> — ..I�losc bib for building purposcs . <br /> -- "'Hosc hib insidc � <br /> _" _'_'13i6torstablecantninin6.--______..-stnll'__'_"_" <br /> '_' ____'Nmnbcrof persnns in family ��'���777 <br /> __'_____'NumUer o(rooms in building S`� . <br /> .—.L <br /> - 'Chc premiscs are to bc used as a_ ��------- <br /> � _. . ..___""_ " """ <br /> � <br /> �,• mrnero(thePr�misesis ." "__ -_ � ? ______ _____'__" <br /> � <br /> . .�gentis____"__.'..._. ___.'___' ��-/-�--"'_____""'.___""_""_ <br /> - npplication,aithough signed.shall not bc binding upon tlic City. until ao <br /> v The SuperintenJ/en-t n(�t/h/e 1Vnt Uc rUnent. <br /> Signed_'C_`_�-.L'/�_ =?�-<^'.'-.__ "'________Applii nt <br /> , <br /> / <br /> . ed .'"'""'""""""._.l. � By""'""'""""""'""Su:er�mendent " <br /> � � " � :�I <br />