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�"X�-c� �i_��7-f�l.... . ��,Xau�� �%�- � _ ": ..� (>-: ��"l <br />W. D. Fmm 4-1G00—E.P.Co.—�-2G-24 <br />City of Evcrett^-�Tater Department <br />A�PLICATION FOR W�TEI� <br />.UI Ulunks nmst be filled in or crossed out <br />Evcrett...................�-.. ....-r...... _. _......._........ ..192..� <br />TO THL :iUP�RINTI'sh�DRN'P QR THF. \�'ATER UEP.SRTi�.IGNT: <br />CITY OF �VF.I2�TT: <br />I liereby apply for tho use of �vater in accordx -e with the rules and 7cgu- <br />lutions of Uie R'nter Drpnrtment, for purPoses nnd i.xtures slatrd Uula�e. <br />During lhe time t.hat any of Ute vmter mains mny he talcen up by reasan <br />of nny improvements authorized Uy the Cily of I;ccrett, in or of nny strect or <br />alley in which thcy mny haue Ucen laid, thc City �vill uat be requirel to furnish <br />�vater during the Prugress af such improcements to miy cnnsumer �eiiose supplp <br />m:iy thus Ue rut otf, or b� liable for un}' damnges fur ils fnilure so to do. <br />\Applicct�on/ No.....�._..>�..�...�'./. _..�'l 13�f <br />Blo-��2' 1,.. l�tti ` � f �1Lot37 � - -....... Add _ .. . _. .. <br />raf °�3 ffl c��o-1i�,�n.i_,- �� �r�......... tr et*�"""' � � <br />� f � <br />. /1lCcL� ._.... ��!l�...... ..... . . ... ... ...... ... ... .. <br />/ .- ." / <br />The �vork to fie executed by....... _(..�� �C�-.-. Plumber <br />_. �_G ......................._.._.. <br />Statr�sizc of !np. ' � �j� � <br />.: �L�...Tap to be ioserted in the mnin. <br />..._(_......_R'uter closct <br />_...�........Bnde � <br />.....-.......Uriial Li / ' <br />_�-:....Plaiu tnucet inside <br />.........--.:...Sidc �vnl4 washcr ' <br />__...�.......Ilose bib oulside <br />.............._:fose Lib for'uuildinq Purpnse., <br />......:_ ......I�Iosc bib inside <br />--...:.:�.---.Bib for stnUle coutaining..........._......stnll...._._......... <br />_.. .......b'umbm• of persons in fnm::; <br />.._��...Numbcr of rooms in building �j <br />� premises nre to Uc used ns n._._._...._._.��iail:__..........__..._............_.__..... <br />owner of the prc�aises is......._.__.....__......_._..__........._ ................................... <br />agentis .................................._...._............_....._..._.._...................._........................ <br />� is npP��cntion, nitl�ough signed, ahall not be uinding upon the City, until <br />�._d 6y the Superintendent ai th0 \Vnter �nrtment. <br />i /� <br />Signed_�:..-:...... _�. J.' .... / ..:......... . ..�...:._................_.....Applicant <br />1/ / <br />Accepted.....................................192..._. BY.........__.... .. .. ..---....... <br />Superintendent <br />