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.- -'- . __. . .i:r . . <br /> . . _ � '� , .�� . <br /> � . i,F._���... <br /> W.U.Foim 4 <br /> CITY OF EVERETT-WATER DEPARTMENT <br /> APPLICATION FOR WAT�R <br /> !11 blanks must he filled : i or crossed out <br /> Evcrett,......__...... ...........�f'"L._�.........................._19_(�..a <br /> '.:O THE SUPERINTENDENT OF THE NATER DEPARTAIENT: <br /> CITY OF EVERETT: <br /> I hereby apply tcr the use ot walcr in accordance with the rales and regu- <br /> lations of the Water Departmenl, Cor purposes aud fixtures stated bclow. <br /> DurinG Ihc timc that any o[ thc watcr mains may be taken up by reason <br /> c C any improvemenis authorized Uy thc Cily of E��erett, in or of any slreet or <br /> aJcy in which they may have been laid, the Cit,v will not be required ta turnish <br /> wale: during lhe progress af such improvemenls to any consumer whose sup• <br /> ply may thus bc cut off, or br liable for any damages tor its failure so to do. <br /> 7 - �. % i <br /> . <br /> ApplicationNo.._...._.r_u..._�.�._�..... j�.�r.�e;.��— <br /> '/ i _ <br /> Block._..�]/y...�................... Lot......._. ..�.�.��...... Ad : ......_.,.. � <br /> � � rc., .-�P,r`�.._ ._ <br /> xo.............J�..L1........�T.rZ..�'�............................._.:..............Street <br /> ........................................._............................_...._..................._..................._..._...... <br /> The work to be executed by... ........._.............__ . _..__........_...... .__.. __Plumhcr <br /> State sizc of tap. . <br /> ��_��....Tap to Ue inscried in thc main. <br /> .. .........._R'ntcr ctoset 71 �r�. � c <br /> ._.............Bath � i�� � � ��.� �i <<. <br /> ................Urinal � <br /> � • �, � <br /> ................Ylain taucet insidc 'F/�.���`e; b5��-:� 7c� <br /> Side �valk washer . �/ S �. c' q <br /> '..........�....Idosc bib oulsidc �'�;� Gi E�t:-r.;r� �/ <br /> ................Hosc bib tor b�ilding Purposes ���:17�It�(?L(at`. :� <br /> ................Iiosc Uib insidc ` . U,� �s�C L�,c [ �_� �-<`-' . <br /> ......._.......Bib tor stablc containing......._(�.�1Cs1a11...�_-��.� <�� �C�3_r%� <br /> ................Numbcr of persons in familp <br /> _.__._._...A*umbcr of rooms in Uuilding fo/� (ylt�-.-, <br /> Thc Premises are lo he used �s � .. ....-7if _�� �/_ _...... �(,,.:Cy;... <br /> Tlie owner of lhe premiscs is .�.c <r �r _. � <br /> . ....�L([.N.r�o�iK: ...._... <br /> 7J � I <br /> Thc agent is......._._ ...... `� . . .... .iC��::t e ��tc......... <br /> This applic�tion, althou„^h si�ned;'=11a11 not be bindi upyn the City, until <br /> acceptcd by Uie SuperintCndent f the �V�ler De�azt� nt. / � <br /> :.� ,' , /. // <br /> �� c'.�.% � . �� / �� <br /> S�Snecl...�.�. r.._�L..�.�.... . . _-.. G..f.�'_. -�.(... ....._.Applicant <br /> Accepted_. . _ . .. .. .. . .. 1^.. _.. 23y ...___. ....... <br /> _._. . .............. <br /> Suporintendenl. <br />