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. ...-. .�-_�� <br />_ j <br />W. D. Fcim 4 %� J <br />CITY OF EVERETT-Wp,TER DEPARTMENT <br />APPLICATION FOR WATER <br />.111 6lanks must be filled in or crossed out <br />� <br />F.verMt� ...................._..�.....:..... �...._... .. _..........._.......19. �C-,: � <br />1'O TfiE SLiPP•.I;INTENDENT OF THE WATER DEPARTnSENT: <br />CITY OF EVERETT: <br />I hereby apply (or the use ot water in accordance with thc rules and regu- <br />lations ot the �Vnler Department, for Purposes and fixtures stated bclow. <br />During thc time lhat any of thc water mains may Uc taken up uy reason <br />oC any improvements authorized by chc City of Evcrclt, in or ot any strect or <br />alley in ��•hich they may have been laid, the Cily wil] not be required to Curnish <br />water during the pro^ress ot such improvements to ar.y consumer whose sup- <br />ply may thus be cut off, ar be liable for an,y damag�s for its tailure so to do. <br />i <br />APPlication No...._i i,.:._'�.�...�........ <br />IIlock..__......_ .......................... Lc _.................. :........._........ Add.___................._........__... <br />� . - <br />No ...................ii ...%....��........l.�:s..:�..�.�si:..:..�r{./L�.C.:_ Slrcet <br />The work to Uc executed by ..............__............ <br />Stalc size of tap. <br />.............._Tap to Ue i��serted in the main. <br />................Natcr closet <br />....�.........Bath <br />................Uri n al <br />................Plain faucet insidc <br />........ ..... Sidc walk washcr <br />Plumber <br />��-i`'�j! [Cc-t<.—Cl-. <br />,_`,�-��_�aM,�'—� <br />( <br />� <br />................i'.osc bib outsidc . . � ,� �.��r ��c <br />r , �- <br />, ; /� .-, .. _ <br />..._...........FIos� bib for building purposes � ` � <br />i <br />...............Hose bib insidc <br />......._.......Bib Cor stable containing............_.._..stall___._.__ _ .. <br />..-.....__....Numbcr of persons in familp <br />� Z.i.......Num6cr of rooms in building <br />The Premises are lo bc used as a.._.__.._._...._ _. ___... .._ _._ ._...._. _.__. ..... <br />Thc awner of the Premises is... ......_....._.. .._............__ ........ ... ._... <br />'Chc agent is ................................_._.._....._................__..........._......__..........._.__........ <br />'Pliis application, �Ithou�h signed, c1;ap not bc binding upon thc City, untii <br />:icecpted bp the Superintendmt of the �Vater Department. <br />Si.ned......: �.1/�:,�.:.f��..�_.C��i�'.�'fi/l�PPlicant <br />�i •. i , <br />Accep'ed ......... ........_...................1�....... By...................................._............. <br />............ .... <br />Superintendent. <br />