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, ,. <br /> _ ,_ <br /> ��..> >_ __� <br /> � 5�-3�-/( Z'�.=-a' �� <br /> �cc.�lf'i{' . <br /> ' w,n.r•o��,a-icoo-s.r.co.-c-xs-u � <br /> City of EverettrWater Depa�'tment <br /> l�PPLICA�'ION FOR WATER <br /> All 61an'<<� must Ue fillnd in or crossed oat <br /> ���L� ' 7 <br /> ...z.........192�.�..D <br /> .�!.Ii�.......�... <br /> Everett...........[.=��r . ...... . <br /> TO TII� SUPERINT�NDCNT OR TII]'s WATLP. DEPART1iliN'C: <br /> CITY OI' EVEI:LTT: <br /> I hereUy apP�Y for the use of �cnter in :iccordance with the rules and regu- <br /> lations of the Natr,r Depnrtment, for purposes and fixtm�es stutrd bclow. <br /> During the lime that uny of thc �vater mains may Ue taken uP UY renaon <br /> of any imP1•ovements euthorized by the City of �verett, in oc of any street or <br /> alley in �vl�ich they m�y have beon luid, the City w�ll not be reqoired tc fur�.ish <br /> wz tm' during the P�'�Sress oC such improvements to any co:�sUmer �vhose suPP�Y <br /> mny thus Ue cut off, or be liable for uny dmnages� ior its fnilure so�dn. <br /> ��y.... ��� <br /> Application No.._ ..... -r..�. . . <br /> �L) �i�_ �i_k_ <br /> - .. Add._..........__......._....:.___._. <br /> Block....................:.�,.�1:J....... ^ <br /> .. . _�. ............_ Street .' <br /> ` <br /> . .. .... . ... , <br /> xo......./..�_.�_�.. . ... .. .. ... . . <br /> . <br /> .......... ..._ ..............._............... <br /> __...................................._.... ......_............................. <br /> . . ��„�..._........_...rlu»,Uer <br /> Th^ work to 'oe execuled by........__...._.. . .-�. - .. <br /> �y�i /J�' <br /> State size of tap. <br /> ,_�/'.z.....Tap to l�r inserted in"the main. <br /> .,/.......�Vuier closet <br /> .._..,_......Bath � <br /> .....Urinal , <br /> ...__�.r„-.....Plnin Tzucet inside // <br /> � ......... ....Side �ealk wnsher � <br /> .......�.....--Hosc bih ouLside <br /> ..,...,-.....Hosc biU for building P��Poses <br /> ._,._-......FIuse bib insidc <br /> ....... .....Bib for stable containing...................stall............_...... <br /> .,..,-,.......Numter of persons in family <br /> _,..�-....Number of romns in building <br /> The premises nre to be used as a....._...._/.�.._��-�`�'�-.............-p....�'....�../.....ri <br /> Tlie owner of the Prer.mises is............_.�-/.(./1=.u<C.,�u��...F��...._�"`�`E"�� <br /> . ..................... <br /> The agent is..................... .................. . <br /> ............_........... <br /> .............................. <br /> T' is nPP��entiun, o.though signed, shn�l not be binding upon Lhe City, untii <br /> '��.d by the Superintendent � the Nater Depnrtment. <br /> . . ................. p� <br /> p 'icant <br /> Signed....................... ..........................:. � T <br /> ��.�/ ��a���'i ................... <br /> . „�,.....C..�3-........DY�d BY�.. ................... ... ... . . . mtendent <br />