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if <br /> -1- � ��X.v� �1�:- <br /> �%/VTn I�i4-}$-1fi . <br /> yr�.LL�.I.i�� <br /> �� \V.D.Farm a-dL00-E.P.Co.-6-26-23 . <br /> City of �.verett�Watei• Department <br /> APPLICATIbl� FOR �WATER <br /> All Ul�mks must L•c filled in or crossed out <br /> � �. �2... ...........l�s...... <br /> Everett................ .. ..�.. . <br /> _ �/............... <br /> TO THE �UP�RINTENUENCITY OF EVEl2ETT;DEPAICTililiN'C: <br /> I h��reby nPP�Y toT the use of�vnter in nrcordnnce «'�th the rules und reBu' <br /> �pjjp119 Of �hP. �Pntrr Depnrlment, for pm�p,�ses and fixtm'be tnl:en u e�by- reason <br /> - Dur�.n6 tiw time that any of the wider mains mny <br /> ullcl'����,��hi h they may heae heen ln d, h�a City will not�be mquire�d}totfurni�h <br /> mater dnrmF lhe Progress o[ such improv.mculs to nnq consumer whose str?p1Y <br /> may thu:. be cut otf, orr'bc ]inblc for :mY dan:ages for its failure so to dn. <br /> App icntion No....3�-l.Q. .Pj..................... - P <br /> ......... .......... Add...��`�. <br /> Block...................................... Lut...........�.. / <br /> No...,/lo..z. ...li u.�/�.• <br /> . ._.. ..Street <br /> ......._.......... <br /> .........._...... . <br /> ........ <br /> .. ....._ ._........_....._.. .. <br /> __ — <br /> TU� work to be executed by.� - --�- <br /> Uz�-�'�-._...........rmmU�T � <br /> Stnle eize of tnp. � <br /> i �S� � <br /> _�.�_:.....Tnp to Uc inserted in thc mnin. //�. <br /> ..._�.........«'atcr closet <br /> ....�.........[3ath � <br /> ...�'.........Urin n I <br /> ,_,�-.......Plain inucet insidc . <br /> ..�..........Sidc n•nik �vnsher . ,-, - <br /> � ; <br /> ._J.............Iiasc bib oulsidc � <br /> ....�{.........Hose Uib for build?n& Purposev / <br /> _.�....,....Hose bib inside �_�, . ; � <br /> � g._...._...........stnll.................... . . �� <br /> ..............IIib fnr stnblc contninin �, . _ . <br /> _..rC,..._...A'unher of persons in fnmilY / - , ,�� <br /> .. Vumber of rooms in building � � <br /> .��........: , uayiC. <br /> y� _.. <br /> TLe liremisrs nrc to l�c used ns n..... . -� � <br /> .'�e owncr of the premises is.........�� � <br /> ..�`"� . .... <br /> . . ............................... <br /> � igent is............................................_.........._...................... ..... <br /> , -� •�plication, allhouqh signed, slinll not be binding uPort tlie City, until <br /> ., - thc Superintende nf the �Vnter llr nrtment, � <br /> ,:igned.. .i!�,/ .�./..,�C�.l!__".'"."'_.""..... .. .. pp cnnt <br /> A li <br /> i� �........... � , <br /> / . ...................... <br /> ...192...... IIY...C-�.rC.'. .. .. <br /> -,�t���.• �'�������=•��x - �erintendent <br /> 1 <br />