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I <br />{ <br /> 1` <br /> 1 <br />� <br /> �L�R ��— q_1� p,-;,. �,-��t� z— �� . 1 •; ;�;��� <br /> N'.D.1'ann i—IL00—F..IICo.-6-:G�2d <br /> Cit�y o,� Everett-��later Department <br /> . � �.. -, <br /> � � �CATION FOR WATER <br /> All Llnnlcs must Lc filled in or cro/s�sed out <br /> I Evcrett...............��i(�.:.......�..�..................192�. <br /> Tb 1'FIG SUPLRINT�A'D�NT OP TIIR �P:\T[�,R DEPARTIiLNT: <br /> CITP OR �VliP.CTT: <br /> I �������Y nPp!Y for the use of�cater in nceerdance �eitl� the r+:les nnd mgu- - <br /> latim�s of tLc Nntcr Depnrdnent, for pm�poses nnJ fix�ures stnted bclo�v. <br /> During tlic Lime that nny o[ the �vater mains mny Ue laken uP bY ren�on <br /> of any improecments autLorized by thc City of IivereLt, in or of uny alrcet or <br /> nlley in w•liich t6cy mny hnec Lcen Inid, lha City will nut bc required to furnish <br /> u�ater dm•ing the progress of auch improcements to nny cunsumer vIrose supply <br /> nmy thus 6c cut ott, o�/r Le lpiaLle tor :my dmm�ges for its tnilure .:o :� do. � <br /> Application No...O..�.�p.....................' � /� 3 . <br /> Qlock........._��.L...�.�.._........ Lot......_..._.......�� Add.............. <br /> ._.........._.......__... <br /> . <br /> ATo..... ... .. � ! -. <br /> f��J.........:.�.�.:?��ij�......_�.................Strect <br /> Tt�e �eork to be executed by......_._.._..,. . .�......_...___.._...PlumUer <br /> /Jr,�.o ............. <br /> Stnt sizc of top. ' . � <br /> ..��...._Tup to Se ir:,��rted in tl�e main. . ' fl <br /> �........«'ntrr closet ,� �I <br /> '_ ��. <br /> .....�........L�ach c_.s' <br /> ....:...........Uri nnl . <br /> .....�.-....,Plnin fnucct inside �� <br /> .....::::..-..Side «•nik ���nsher , <br /> ._.../........Huse biU outside � <br /> ......::.-:..:...IIose Lib for building purposes I <br /> ......_-.:::..Hose UiU insidc � <br /> .....:_-..-.Bib for stnble contnining....................stnll................._. <br /> --�.�'umber of nersons in tnmily � <br /> ................ <br /> .....�........Nmnber o£ rooms in huilding <br /> The premises nre :o be used ns a...._ .__._.....�....�..................................... <br /> The o�vner of the pre�uises is..........._............................................................._........ <br /> . The ngenU is.................._...._............................._................_.................._...................... <br /> ' This npplication, nithouqh signed, shall not bc 6inding npcn Lhe Ctty, until <br /> nccepted Uy the Superintendent of lhe \4�/at1er Depnrtmcnt. ' <br /> Signed.../..�...(.2G.`.-.d:�¢�t! I/.N�Y.�u�:?�!,�'.�?-P��c.� appljennt <br /> / � <br /> n���P��a....�.:��........i�z.... .....�Y............ .. <br /> ��. <br /> ...... <br /> � / _c endent �� <br /> / <br /> l <br /> Y;�� <br /> � <br />