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`L✓a..�-71'. 1 .a�. ly �� rr-��.ixa-:A i�— .. :- a � �..... . <br /> ti . <br /> W.D.�Torm�-160U—EP.Co.-6.26-P� � r ' <br /> Cit�,� of �.verett�--�Water Department <br /> APPLICATION FOR WATER � <br /> All binnks must Lc filled in or crossed out <br /> . - lL� _-. <br /> c��r�tc......._...........................f_'............................._...isz....! <br /> TO THE SUPERINTENDENT OF TIIE WATER DEPAItTntENT: <br /> � CITY OR CV�12�TT: <br /> I hereby npply for the use ot watcr in nccotdnnce with the rules nnd regu- <br /> lations af the Vi'nter Department, for purposes nnd fixtures stnted bclow. <br /> During tlie time thnt any of the �vater mains mey be taken up by i�nson <br /> of any impro��ements authorized by the City of EveretQ :n or of any aLreet or . <br /> � nlley in µ�hich the}� mny hnve been laid, thc City will not be required to furnish <br /> �eater durir6 the progress of auch improvements to any consumer whose supply <br /> mny ttris Le cut off, o(r�be lpinUle for nny dnmuges far its failure so to do. <br /> A���plicntion No.....0.-�...G...Z................. 7 2. oS �- ' I <br /> Block..............................._........�L^u't�....�........./.... ................ Add............�..._`..:.'....I.. <br /> 1............. <br /> No.....��.,�...�._..........U..�..�C!J....Sv,z..........3treet �. <br /> .._..................................__..........................:.. ..........._................ ....., �_ <br /> � ... ................. ._............ <br /> �7 �� <br /> The work to be ezecuted by......_.....�j.. . . . ................:.+...............Plumber . <br /> State aize of tap. j �.S � �� � <br /> .....��'.c...Tap to Le inserted in �he.muin�. . . . . <br /> i <br /> ....../.......Natcr doset .. �� '� <br /> ' . �.__ . . _...... <br /> ......I........Bach <br /> .........-...Urin¢I <br /> ......_Z._ Plain fnucet inside <br /> ......_'.'......Side n�alk tvosher � <br /> .....�........:Hosc bib outsidc . ' <br /> .....-........Hose bib for building purposes <br /> .....�........Hose bib insidc <br /> ...._�....Bib for stable contnining....................etall.................... <br /> ......�..�!.�—.....Number of persons in fae�.ily <br /> .....,l.........Number of rooma in building /"`� � <br /> premises are to be used as a. ..........�.'.15.ti!�J._�.............................. .. ...... <br /> owner of the premises is....�..fryteG.f./_��..�..��. <br /> �gent ie...................................................................................................................... / <br /> •:pplication, although signed, shall not be binding upon the City, until <br /> - .y the Superintendent of the Wnter Department. <br /> . �� Signed...f..�.._..�........ . .......... .........Applicant <br /> ' Aeeepted...:t✓/....::-i..�.�.f.......�....192. ... By..... . . f. . . ._....... ...... , <br /> � uperintendeat <br />