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. \V.U.h'urm]—tio0—E.P.Cu.._L.'-G.2� • • ' — *� . <br /> City of �:verett�Water Department <br /> ' �rT T�ATION FOR WATER <br /> 41l binnks must be filled in or aa� aut <br /> Everelt�...............� �'4 . � ...132.�. <br /> ..............!....... ..................... , <br /> �� YHL •:il'iRINTENDENCITY OI' EVEIirTT;DEYARTTfEN'P: <br /> I hereby nPP�Y for the use o[water in nccordance with the rvles nnd regu- <br /> lationa of the Water Depnrtment, for purposes nnd fixtures Rtnted below. <br /> lluring the time that any of the �catcr meins meY be taken up by rewson <br /> oI any imProvementn pU h�°ve beenYl icl, he C ty will not�be�equiredYtolfurnish <br /> a11eS in ., ' <br /> water �. r,i�. e of such improvements to any consumer whose supplY <br /> � mny thce ` '���� be liable for nny dmm�ges for its failure so to do. <br /> u�,�: ,, .. . 3..7.�1_.7. ..:- -�r,_��«. <br /> .-rn '.; ... .... <br /> �.n . Add...................._..........._..._.. <br /> Block....... .. .....:...._...... .... Lot,....... ... <br /> ' 9treet <br /> r , <br /> �-.�G ........... <br /> .... <br /> No.................. � ... .................. <br /> ......... ....._. <br /> .................................................................. <br /> .......................... ... <br /> _. . ..... . ....._. ............Plnm6er <br /> The work to be executed by......_......... ........ <br /> �St e atze of tnp. <br /> j��....Tap to be inseded in the mnin, a � <br /> J� r � '• �J <br /> _.,,'.2...........Nater doset � , + . <br /> '—..Bath �V .( . <br /> ....' .—....._Urinel �'� 1 � . <br /> .,.,��..Plnin faucet inside <br /> ................Side wnik «•asher <br /> ..._`...Hose bib oulside <br /> ................Hose bib for building Purposes <br /> ..............:.Hose bib insidc �r • � � <br /> — Bib for atable containing....................at I.....:.<:LC��..i..;��, <br /> .............._ . <br /> ..... ...Number of persons in fnmily �� �� `\� ................ „ <br /> ............... <br /> .Number of rooma in building 1 <br /> The premises ere to be used as a......... ....... .. �.......................................... <br /> Theo�rner of the Premisea is...................................................................................... <br /> Thcagent ie......................................................................................:............................... <br /> Thie applicntion, elthough si6med, ahnll not be binding upon the City, nntil <br /> occepted by the SuPerint de/nt�lhe Nnter Depertment. . <br /> Signed....�..5./�.! ,v[�_�..,_..:....�:�..... ... .......Applicant <br /> AceePted.....�j..•.-...—'��..�.�..192.�.J.. ... ...BY... y..q�" .f.f. �..{.�. .... ... ......... ' <br /> / t ! uperintendent <br />