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�.�%� ��: Y�- 7'I='�-� �'Nz� 1a io--i rZ� <br /> W. �. Form 4 1500 3-1-1]C.P. ^ ' <br /> CITY OF EVERETTQ=Water Department <br /> Application for Water <br /> AII blanks must be filled in or crosscd u <br /> Evcrett.-==_�C�� / ' �a—___""____19�__'__ <br /> TO THE SUPERINTENDF.N7'OF TIIE WAT6R DEPARTAfEN7', <br /> CITY OF GVERETT: ' <br /> 1 here6y apply!nr the use n(water in accordance with the rules and requla� <br /> tinns of Thc Water Department, tor purposes :mJ fixWres stated below�. <br /> Uaring the time that an>•o([hc roter mains inay be taken up by rensun of <br /> anp imprnvemenls authorired bp the Cily of gverrlt,in or o( any slrcet nr allcy in <br /> which they may havc been laid, thc City n•ill nnt be required to furnish waler during <br /> [he prngmss nf such impravemenis ta any mnsumer H'NIISC supplp may thus be cu[ <br /> u((,nr be liablc tor any damaFcs for its failure so tu do. <br /> � • r7 <br /> APPlirntion No."__'�-�' S"L,__' <br /> 131�k ._..l-O_•J g __._.LoL____���_"'__Add._____._"____'_____ <br /> � / � � �_-_�__L_ <br /> NaaGo_3 — yV��w�ri1 _.__._..Street <br /> .___'.____"____' ' ______"_.__.___'._'_____-_____"_'_'__""'____"'. <br /> Thewurktobcexecvtedb)'._'___._'_""".'_____.-_'____"'____'_ Plumber <br /> St�e sizc nf tap. � �i' � <br /> v <br /> _._/�Tap[n be inserted in the main. <br /> '____. 14:i[er�lasc[ ��.� Z /�„ > . <br /> ___ <br /> """ _-I3alh ....'_'�- / <br /> - _•., <br /> ' �'y�.:r'.,-. <br /> "-'--- .Urinal /"��t'... �1,.,,�. <br /> Plain (aucet in�idc !% J 1�•��j . : .� <br /> ---------- � \ \�� � <br /> l.�, �� e,�; <br /> _____.__._Sidc walk washer ' � . <br /> ,,�� ,. <br /> ,�-. �.^ . � .. <br /> h , � �, <br /> __'_"_"'Husebiboutsidc •'/�� -�.` . ° �. <br /> i�,� � '. <br /> ._Hosebibfurbuildingpmposcs � 1�, �i :�. <br /> """' � <br /> � ' . AM � <br /> ---"---'Hosc bi6 mside `�;, � ,�: ,i(ii:� <br /> -ct� ,.��•.� <br /> ': . .: <br /> Dib(nrstablecontaininµ._______'__stall'___„"_ �.'-• . <br /> _"""" -. ��:,.,.� <br /> ', ya: — <br /> .__'._._'Numbero(personsinfamilY ��"'��'c e.J�.� <br /> \:;�'_ <br /> __"'_"_Numberof runms in building � <br /> The premises are tn be used as a_-_'______________"'.._"__"_""" '__'.. <br /> The owner uf the Premises is ____"._'______'_'.__.__'_________'____'_'._ <br /> "'_ <br /> The aKent is .____..._._..__"'_"'___'__ <br /> .____.__'_""_'.____.__'_"'_ <br /> 'Phis npplicatiun, although siqned,shall not be binding upon ihe Cit}•, until ao <br /> -ted by 1'he Superimenden[o e W/�r Deparlmc <br /> Si�ded�i/'ZP��._ _ _. - �'L'__"'Applicant <br /> � ��ed. _. <br /> � `���_D_'.�/ fly _ _ __._"_'_'_"'__'_"_' � <br /> ^nrei Invnama <br />