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Yc..��-c. �� . . . . . �a...c�' /2 – �1–,:c� _(�/' <br /> i <br /> N.11.I'orm J .IG00—E.P.Co.-6-RG•Rt <br /> City of Everett--Water Depai�tment <br /> APPLICATION FOR W�TER <br /> All binnks must be filled in or crosseS out <br /> Evcrett.........................1 y����/�.�.._..................._....193�. <br /> TO TISE SUPERINTENDENT OP T3II: \1'ATF:R UEPA1tTTIL\T: <br /> CITY OI' EVP•.IttiTT: <br /> I hereLy upplp for the use ut�rnter in nccordnnce wiqi the rulca nnd regu- <br /> lulions o( thc ��'nter Department, lor puriioses and tixtures stnted be'.ow. � <br /> During lhe time thnt nny of lhc ��•nter mnins mny hc tnken uP �l' renson <br /> nf nny improcements nuthorizcd Uy thc Cilp o[ Evcrrtt, in or of anq atrcet or <br /> alicy in tivLich thcp map hn��u becn laid, lhc City ��•ill not bc mquired to furnish <br /> wnter during the progress o[ such improrements to nnp consumer wLnse supply <br /> mny lhus bc cut otC, or bc linblc for :my damnges far its fnilure so lo do. <br /> Applicntion No.......�.� 3..� , <br /> � , <br /> Block............._ �J � .ot....� . . � '.. . ' ' � <br /> .�.. / . ....... Add.. _.. .: �� ! '.f..__.: <br /> A'o..... ..3.�"'. !. �C�/...r r��l.�-.'.`3tttet <br /> �� 1 <br /> ............... ......................................................_... . . .. . ............ .. . ....__........... ..........._.. <br /> Thc work to be esecuted by...... ._ . .. Gian�.���......Plumber <br /> St�n�te aize of tap. /S �__ �� a <br /> .%:1-.....Tap to be inserted in the mnin. � <br /> ' ................Nntcr closct <br /> ................B o t h <br /> / <br /> Urinnl _ ` �, <br /> .........._....Plnin fnucet inside � <br /> ................Sidc tvalk �r•nshcr <br /> ..........__..Hnae bib outside <br /> ................Iiosc Lib for buildi�g purposes <br /> ................IIose bib inside � . <br /> ................BiL for stnble contnining....................stall.................... <br /> .........._...Nmnbcr of petsons in family <br /> ................NumUez o[ rooms in buildin J <br /> The premi�es are to be used ns ¢.. �1:.P._.'�. .. . .. �;/,��.r.. <br /> The on•ncr of thc ptemises is ... - . ,� ;,�_. <br /> . ........... .. . ... ........ <br /> Thcagent is..........................................._......................._................... <br /> ............___........... <br /> _hig npplicntion, n(lhough siFned, ahnll not Ue bindi�g upun the Cily, until <br /> �ted by the Superintcndent of the W tcr Department. <br /> Signed_5:........V..LZ./..Y.LCN..1....../.C/!�`.....�.......... . ....Aypl' ont <br /> ed._._.1.��.......—/�.........19 �2Q By..._ _ ... ....._ � L <br /> . ... ...... <br /> / �� .ndeat <br />