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r <br />�: _, c� '.1 ; %_-. .�.�'-�; <br />\\'.0.FarmA—:+00—E.P.Co.—G-R6-".� � <br />City of Everett•—Watei� Depai'tment <br />APPLICATION FnR �WATF,I� <br />All binnk= niu�t be filled in �r cTossetl out <br />— / ' � <br />' -'�, : ; . �� ...19P..._. <br />Evcrett .....................L�.f..%...i...i.._ �......................-. <br />TO THE SUPERIAITEN7)ENCITY OP �V6R 1T ��P��;��IlivT: <br />I hereLy npply for the u�u of water in accord�nee with the cules nnd regu- <br />lutions ot the R'ater DeP2rtmcat, for purPo=es m�d fix�ures stated bcla�c• <br />During the time that any of ihc wzter mains may b� taken uF liY T�n�On <br />of nnp improvements authorized b}' thc City of F.c^rett, in or of uny street or <br />ulley in wliich thcy may hnve Uecn la�d, the City �vill not be required to furn:sli <br />�vater during the P�'ogress uf sud� imProvements ta nny consmuer ��'hoee sUpl��)' <br />mny tUus 6c cut of(, or bc lirUle fm� uo- dmnaSe`• fur its tnilure so to do. <br />ApPlication Nu......�...:_�.�'..:...'._�..C_......... <br />... _ _ _........ Add....._....._._..____.._..__.... <br />Block..............................�...... Lot...........(�/ �(.� . . <br />No...�Q _�Cv[tizfil.�.....�.C.Y�l...•..8treet <br />Q...... <br />... . _........ _... _..... _......... _. _. _........... _._.. _........... _... _ .................... _. _. ........ <br />TLe work to Ue executed bY.....-. .... .--.-.-.-. ��............--....Plumber <br />_... <br />� G <br />State sizc of tnP. .:�� / t�, <br />i <br />.��/�...._Tap to be inscrted in the main. � <br />.._,J..........\Vater closet <br />...Z.........Bath <br />...... ........Urin nl <br />...�?........Plnin faucet inside � � � <br />......� ......Side walk washer ,� <br />....(. .........Hosc bib oul,ide � ; <br />i <br />....�-......._Iiose Uib for Uuilding Purposes <br />... ".:........IIose bib insidc <br />:-......Bib for stable containing ................... stall.........._.._.... <br />....:_—....Number of pm�son; in family <br />_. /'......A�u:nUer of room= in building , <br />'The premises are to be used yq n�B...._.__... .. . . . C.R—._------�. <br />• ��� L{ �' �CC.�. �. . <br />The cwncr of the prcroises�!<:--�.�-..-; .. ...-....- ................. <br />Theagent is....._..._..._............_.._!%........_....._........_.._........__....._ ............................ <br />F�� �der �� binding uPon tlm City, until <br />artment. <br />uccept d bY� Shened ncr nttend ���nthc�)���.%t%�� ) J? �_..__...........ApPlicnnt <br />f'... . , <br />,�.... ... . . : <br />h __ f� � <br />elccepted._ � .........�..�.r......192.:�. BY-..... �f._:.L�.:_.!'.....-...::'�.'...........__.... <br />...:.........`� ' � SuPcrintendent <br />