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r- . . • <br />! <br /> M <br />' <br />� <br />,� <br />�I <br />� <br />� <br />� . <br /> /_i7 / Y 7_" ,z,O' 1 � `_ 'r� <br /> - R ._ '� n 1J . . . r.���+-ti� <br /> W. �. Ponn a I500 d-1-V C.P. ' ' <br /> CITY OF EVERETT==Water Department � <br /> Application for Water <br /> All blanks mus[bc filled in or crassed ou[ <br /> F,.���«,___ - ��r.6 � <br /> ------------- - -------- - ��---- <br /> TO 'CHE SUPERINTENDEN'I'O�THF, WATER UEPARTMENT, <br /> CITY OF GVERETT: <br /> 1 herehy apply for U�e use of water in accordance with [he rules ind reFula� <br /> :inns n(1'he W�ter Dapartmenl, for purposes :md fixtures stated bclow. <br /> During the�ime that any of the watcr mains may be taken up by reasan o( <br /> � ar.y m+provements au[horizcd by thc City nf F.verett,in nr ot any strce[ nr allcy in <br /> ��:hich Ihey ntay have been laid, the City will nn[ be «quired to Nrnish water during <br /> "�e proqress o(such improvements tn anp consumer u�hnse supply may Ihus be cut <br /> off, ��r bc liable for any damagcs (or its (nilure so to dn, <br /> APP�irntinn Nn.__.__b0. 3� <br /> " '�"'_ <br /> HIxA _.�.3 3_ _ Lot----b------------Add---- - <br /> _- _ ._"".__'__ . <br /> Nn.._.��d_7_' '.. .Street <br /> _ ..A-�.ICC"`'`.."_"' <br /> """."'..__""' ' _"""""_"__""""___"""_ _"""""""""'. . <br /> The wnrk ro be exccutcd by__.____"_'__'________'_____________ Plumber <br /> State sizc of tap. J <br /> �I-�2..-'-'-TaP m bc insrrted in the main. � 1�/ ` S V . ., <br /> '--�'.___Watrrcloset y � � <br /> '--1_'__Bath <br /> .--.--' .Urinal � m ` �. <br /> .4 : <br /> ---'__'__Plain faumt inside " }'1'`'� �� � - <br /> .y <br /> .______.Sidc walk washer � ��r-� <br /> --____"Hnsebiboutsidc . � / . . <br /> -'-"_.'_Aose bib(orbuilding purpases � . . . . .' . <br /> _-"--'--Hose bib inside �, . <br /> � <br /> _"""'_HibfnrstablecantnininK---____ stall_.. <br /> - _"'Numbrrof prrsnns in fnmilp ��.�.. <br /> --�•""Numbcr uf roorns in buiiding <br /> � The premises are to bc used as n_____ _ • <br /> Thcowncro([hepremisesis�,.__"�_�.._.._._ �_'__'___ ___ <br /> / � � <br /> The agen� is __"___' _�[, __ <br /> � TLis applica[ion,aithou}h signc�,shail not bc binding upnn Ihe Ciq�, until ao <br /> -!� cepted by The Superimendent n(�hc 1Y'idrr 11�trtnicnL � � <br /> � _ y.�"�� � � � � p <br /> � .- <br /> - � Signed---_ .—'-V-.l�. VLI�{,!)��t(,(�-�L� licant <br /> ,,,yyy ___ "_'_ <br /> __. <br /> '.. F.cc,..rted._- /-�_�j-.__�9 ,C� � J ( <br /> � _ -._����.-'__.Su;erimendent -- <br />