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NS v.l'�rm 4=1600—E.P.Co.--&2G-2d �� � � <br />City of Everett�-�W�ter Departn�ent <br />APPLICATION F �R. wATER. <br />All blxnks must bc Silled in or cro��ed ent <br />� «��_�.1......�oz� <br />Cvcrett........... .�.�..%........ <br />TO THE SUPERINTPNDh'.NCITY OF �VERETT DCPARTniPNT: <br />I]icreby npply for the use of water in nccordance with the rules and mgu- <br />lutions of thc R'ater Department, for purposes nnd fixtures stnted bclow. <br />During tlie time that any of the water mnins mny be tnken up bY renson <br />of any imProve�nents authorized by tLe City of Btcrntt, in or of any strcet or <br />nlley in �vhich they may have Ueen lnid, the City will not be required to furnish <br />may thus �Le cut off,� or be 7IiaUle for�sny dan nges�for yts�fnilure� so �to do uPP�Y <br />Application No....,1 !�-.� ............... 7 3� 7 <br />_ . ATd .___.... <br />BIOCIC ..../.../..............� .......... _/_ � <br />..... L04.........._..........._.....('.....-_ . <br />No...%7�� �-/'�'......�.f...%J.�N/[�. t_Street <br />Thc worlc to be ezecuted by.(J.i�t��''�`�' -�"��"'....-� : ................"._...--- <br />State �ze of tap. � , .�. ./� _ . . <br />___l�..�..�..._Tnp to be inserted in thc main. � <br />_,_„ I_,,,,...WLZC[ CIGSCS <br />.....�.........Bath ' � � � �� , - , <br />— ,., �� •..r Cr_...�,I ili�l:i: �.� <br />................Urin¢l . (' <br />i � <br />.....Z-'--Pl¢in faueet inside . . . ....,..i��__._...._._ <br />---.._-.....SiSe �vulk �vushcr , ' �,�; `. ' ��� <br />..,.....-.....Hose bib ouLside ' � <br />.._...,..�_Hose UiU tur building purposes � <br />— biF. :nsidc <br />... ............. H o s r, <br />......—....Bii for stnble containing ....................stall.....--........_.. <br />.......�:....NumUcr uf persans in family <br />.... y.....Numbcr ot rooms in building qI�y <br />The P'emises nrc to be used as n .................U��I•��J,...._....... _......_........._... <br />i <br />The owner of the Premises is�2�.��---- -/�-�r�:�f�— <br />Thcagent is ....................................................................... .. ...................................... <br />This applicntion, nithovgli signed, shnll not be binding upon the City, until <br />nccepted by the Superinlendent ot the Nnter Dep�artment. / <br />Signed.l.�.��...�.F.'.vl...%_..G..� C....�.... .. �'�:�d./. � � licnn <br />. t <br />Accepted.J.._7.�'F..l � ... `� �r2 BY .. ..... .. . . .... . .......... .... <br />""'""""�" rmtendmrt <br />