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�: `.i.� = a 7->.r �. .. e..,_�-�,� 5�'L 6- t:, ('r:v L_ <br />w. u. ro.�, �—isoo—e.r.co.—s-:s�x� <br />City of Eve.rett�--�later Depai�tment <br />APPLICATION FOR WATER <br />_�ll Llnnlcs must be filled in or crossed out � <br />E ccrett,....�����.... .�.�...(J' .................. ...10•?.:S! <br />TO TI�E SUPERINTIATDliNT OF TIIF. \\'� K' DEPARTnfENT: <br />CITI OR �V ' T: <br />I hereUy npplg for the use of �caler in nccordnnce n•ith tUe rules and regu- <br />Intions ot tFc R'aler Department, tor pmposes nnd fis!ures stnted bclow. <br />During thc time t6nt nny of ihe �.eater mains mny be tnken up by reason <br />of nny improvements nuthorized 5y tlm City nf L�•crett, in or of any street or <br />nlley in �vhich they mny hnv� been Inid, the Cit� will nol be rec�uired to furnish <br />�catm• during the progress of such iroprovemenis tn nny cunsumer whose supply <br />may thus bc cut aif, u c l/iub'.c fur :my d.urmges for its fnilure so to do. <br />Appliention No...��p�..,(.,,�.`. <br />.................. <br />Block ...................... . Lot.�`...... ....................... Add.n2.��...LLGr�. <br />N�%�R,r. ..... .<....��� ..,. . ........... /Strect . <br />....................._..�.. �c�_� .-.....(_ `�..'...��./_l...! ...i. �� �:.i,_i........1.�i.'. ��... r'..._............ ._. <br />/ ....._._. <br />The warA to bc exeeuted bY..-� ..._�.Q .._ ... ..._.._. �..P1umUcr <br />Stnt size of lnp, �.S �� / <br />���....Tap to bc insm•ted in thc mnin, il, / G,� Q C� <br />�( v <br />....._L..«'nter closet <br />... �.-......Batli <br />....�...Urinal <br />.....i.........Plnin Aiucet iuside <br />..._ �:...Side �valk ��•nshcr <br />._ r�.Hosc bib oulsidc � <br />......�:.Iiose bb for building Pmposes � <br />.....C........Hose bib inside <br />.....��....IIib for stnble contnining......_..._... _stall .................... <br />... f�1'mnber of persons in fnmily <br />�..........NumUcr of rooms in 6vilding <br />Thc P�'emises arc ta be used ns ._.. ... .��-�.-f C' c-.., _[,,� <br />• amer ot the premise�s ��� ,� , .. . .� . <br />� .._. ......... <br />� <br />. :.gent is ........ .. .. . ... . <br />: npplicntion, nlUioug�qned, :hnll not be Uinding upon the City, until <br />��•�y the Superintc Jent�of the R�yter Depnrcment. <br />7� 4-' / <br />Signed. .....�.:../✓` F_'l:t..11......... ................... <br />��,// '......'.. .. /.�:._.. J...�.Anplicnut <br />' .:r-....:�..'Y'.......SD2�. By.c�y:.._. — 1 : . , <br />. .�/.u<..�_ . _ ................. <br />� �-`-6u;ierintendent <br />