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W. D. Faim 4 <br />CITY OF EVERETT-WATER DEPAR' <br />APPLICA'�'ION FOR W <br />:11I blanks must be filled in or cressed o� <br />EverMt,........_ .. � - <br />.. _..�.._...��...._............ <br />,G TfiE SUPERIN'I'ENDENT OF T1IE WATEfi DFPARTn9 <br />CITY OF EVERETT: <br />I hereby apply for the use of water in acrurdance with tl <br />lations ot the Water Department, for pw•poses and tixtures � <br />Durin�; the time that anp of thc water mains may be ts <br />of any impravements authorized by the City af F,vere�i, :n p <br />allcy in �vhich they may have been Iaid, the City wil] not be r <br />lt�ater during the progress ot such improvements to anv rnn: <br />P!S may thus bc cut off, or 6e liable for any damages for ib. <br />Appli^ation No..:c..'.�r.'o'"rf"='�'....�� � L �. <br />r <br />Block__............_ ................_... Lot_......_.. .._......._.... Add.......... <br />I�o ............................._� � . ( ..__... �.�.-C�.../..�.—........... <br />� .... ... .�.../.....:,7 . <br />_. .... _ ................ _............... .... ................. _.................... _...... .................. <br />The work to be executed by .................__.._..___...........__.... <br />SWte siu of tap. <br />�i <br />_..._.....T.p Lo bc inscrted in ;hc main. <br />.._._...._...Naler doset <br />................IIa th <br />-. .. ....._...Urinal � <br />.. ..._........Pla;n faucet in,idc � � <br />.-.-...__..Sidc walk washcr . <br />-._...........Hose bi6 oulsidc <br />. ............_Hose bib lor building purposes <br />-__......__Hos� bib ir.:;iric <br />� <br />. __..........IIib tor slabl� containing........._..._.._stall ................._. <br />....___--.._NumUer of ir-rsons in family iJC,�G <br />.._..........Numbcr of r�roms in b�ildit;g � 7 y S <br />'1'hc premises are to be used as a............%Lr�t,,,,,./7 `7�c <br />............ . <br />'Phe owncr of the premises is_ ...................__....... <br />... _ .... _ ....... ..... <br />Thc agent is......_............_._....... <br />. ..._. ....__..._. ___........_....._._....... <br />'Cl:i; applic;,�iun, although signed, shal not bc binding upa <br />accenL-9 bc ti�,c tiuperint�e`n ent of t�he'/Wa r Uepa,�tmeut. <br />c;,,.ned7'�'.l�: f-l�Ct�,..fY.r... L'�L..�L.C..:,L <br />:\cc�•p:cG._... . ... . 1^...__ lic.. <br />. _.......... ._ cup' <br />. . , . . . ., , . . , <br />