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� <br /> �!' f,r�,� _�- -� ,,:.�n <br /> . . _ �_ <br /> N'. D. Fcnn 4 ISCO 3-0-I]C.P. '. . - <br /> CITY OF EVERETT==Water Depart.me�t <br /> � <br /> Application f�r Water <br /> All blanks mus[ be filled in ur crossed out <br /> F.vcrett.. _ -________7��__�_.____'____791 ._�_ ` . <br /> '1'O 'CI-IE SUPIiRIN'I'ENll1iN"P OP TFIG �Ve\TL•'R DEPARI'n1LN"1'� <br /> CI'I'Y OF GYBRE'PT: <br /> I hereby:�pU�Y ��>r the us�:o(aater in aceordance H'i[h the rules and regula- <br /> tiun;��f 1'he W�ter Departm:nt, tor purposes and 5x[ures stated Uelow. <br /> During the time thac am� oi the waecr mains may be taken up by reason ot <br /> any improvements autharized by tl�e Cit}'of Gverett,in nr o( any stree[ or alley i-� <br /> �chich[heY �»�Y have been laid, tl�e City will not be required ro lurnish water during <br /> the prn�ress of such improveinents t��any ronsumer whnse supply ma}' Ihus be cut <br /> n(f, nr bc liable tnr an)' dsmages (or its f:�ilure so to du. <br /> 7 (; ,' , <br /> � ppPlicntionNo.__'_�'___. �__ �' r/ y � � Q i <br /> _______ <br /> Blnck ._.2-�11_' __-_"Ln .2-LC_�'�'.[__"A�Id_��-�`!-� • � <br /> Kn._____. ___�_�_�_e2__��-Sireet � <br /> '_ ' _._____.____' <br /> ._.______._____' <br /> ..--�Che wnrk to be esecutrcl by_---------------------------- �'lumbrr � <br /> Statc sizc��( tap. <br /> _�2Ta [n be inserted in thc main. / <br /> `__ v O <br /> ------.---�vater c�oset � <br /> Iiatlt � <br /> _______ .Urinal IIpf.1 � <br /> � .c' <br /> _____'___Flainfaucetinsidc ��� ��'\ <br /> -_____.Sidewalkwasher �+ �.�1����\,. \t` <br /> __Flos-e bib oulside � ��.j.�' p . <br /> _ _ Huse bib (orbuJdmg purposes ' �` \��� ,r,s� <br /> ' 0��_ . ___ .Hoscbibins;dc - ' , <br /> _'__'._'_13ib for stablc cuntaininH___'___.._,.sla1L_',V�__� !�J"�Ari <br /> ,_ ,� .. <br /> ___'____'_Numbero(personsinfamily �i,.� t^�. <br /> �,a���tiGl� <br /> _�_____Number u(rooms in building -' <br /> 9'heDremisesaretnbeusedasa________________"__"_'___""______ __"'. <br /> 'fhe owner of[he Premises is _____'-__________________________'__'________'. <br /> Thea6entis __..______ .--_-____.___'__. _______"_' <br /> This apP�ical'°°. '��houqh signed,shall nnt Lc bindinq upon thc City, �mtil ac <br /> cepted by'1'he Superimenden[o(tlie Wnter Uepartment. <br /> f�-- /� ��.../� <br /> Signed__.11.i�__s I/,.'i�vf.-/.-_ '____'__'_'ApPlicant <br /> _ ��f'� <br /> Accep[ed f��, .._-19Ya R�' �J�L � -- <br /> _ -.- ' l' --_____.___-su:arlmendeci <br /> / <br />