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� . - �c...�cf `�`�2' 1-6- LJ7 <br /> ���.n.Fo���a—isau—e.r.co.-6:�-za " ' - ' <br /> City of Evereti�-�3J2ter Departznent <br /> APPLICA'I'ION FOR WATE� <br /> IAll bl.mks must Ue filled in or crossed out <br /> � liverett,................._.::..> ...:�_�-.�—........__.10Y./'_ <br /> TO TIIE SUPERINTENDENT OR TII , lV ' ��R D6PAI;TIIliN'1': <br /> CITY OR • �I.ETT: <br /> >y upply £or the use of water in accorda��ce�cith thc rnles and regu- <br /> lations �Pater Depnrtment, for purposes :md fis�ures stated bcla�v. <br /> Durmg Lhe timc that any of thc �cater maius mny Ue tal:en up Ly reason <br /> of ;ny impruccments nuthoria.ed by the City of 1'scerett, in or uf tmy street nr <br /> allcy in whirh thcy may havc hren laid, thc City will not be required to furnish <br />° �vater duriny the progress af such i�uprocenents to uny consun:m• tvliose suPP�Y <br />� may tLus Uc cut off, or be liable fm� ;my davuges for ifs failure so to da. <br /> Applicution A`o.....��.-2...Z� �, S%5 <br /> _...._........ � <br /> Block..................__....._._........ Lot............. . ...... . Add..._...._..._......____...._ <br /> 5 . ..._........ <br /> No..........��.�J_....._JT��� i/_...._ .._..............._$trcet <br /> C/ <br /> . . ......._.. ... ........ . ... .. . ......... ...... ... <br />�� TLe tso�k to U�. e:ecuted Uy ... _ . .. . _.. _. _� . �r .P1untUcr, <br /> / 5� �:, �� . <br /> St� s�..e of tnp. - � �/�� , . � ' � <br /> ( . <br /> '.Tap to Ue inserted in the tnnin. % 'i � -�� <br /> ... ........ . .� ._ .. <br /> .._...�.......Nntcr closet .. . . . ,�;:- <br /> ,:.i� <br /> ......�.........Bntll .. . . vriii'-S . <br />�� ....... _..Urinnl � . <br />: ....._L.Plnin fnncet inside .� . . ./: . <br /> i <br /> ............-Side �e�ll: �cashcr �' <br /> ........�......Ilo=c UiU autcidc <br /> ........_�..ITose bib for 6vilding Purposes <br /> ........�......Flose biL insidc <br /> ......::::.....�ib for staUlc containing....................stnll................. <br /> ��....'..-:....IQumUar of persons in fn�rlp <br /> ��-�„7-.-..A'umber of rooms in buildin� <br /> The premises are to he used as e...... ..........��_.�/�_-_.__..__. <br /> ......................... <br /> Th.e owncr of the prrmises is........_._._..._...._. <br />. ........__._............._........_............... . <br />� T6c agent ie................................ <br /> i ..........._........_............................................................... <br /> i� This application, clthough signed, shall not 6c hinding upon tlic ty� until <br /> nccePted by the Saperintendent of the Wnt epnrtment., �- <br />� . <br /> jSigned-r.......�=.`./r<:...._�. .�:.. ........._._:.-._ _ _....:.: ��sant <br /> AccePted.......��.7.-_Z'. 192.CG By_._ � <br /> / .... ._ .... . . . --� --' <br /> � Superintendent <br />� <br /> _.. _`� <br /> __ - __ _ _ - -.«�u��c.r- <br />