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w.o, ro��a .�� . > <br /> CITY OF EVERETT--WATER DEPARTMENT ' <br /> APPLICAT'IpN FOR WA'�ER <br /> Al] blanks must bc filled in or crossed out <br /> Evcrcl[ ... �� . . � <br /> .__...... .,..:._..�,.. ._.....19�_c i <br /> TO TIiE yUPER1NTF.NDENT pF T79E \CqTER DEPARTb1ENT: <br /> CITy OF EVF.RETT: <br /> I here5y apply�for ���e use of tvater in accordanee �cith the rules and re�u- <br /> 1�tinns o" the l5'atcr llepartment, for purposes and fixWres stated bclow. <br /> (f ,Dur'n�r�h��cntstauthorrzeci b�e1j,��City ot�Eve�ett, in or af an � <br /> alley ir. �chich they may h�ve been laid, the City tvill not�etrequi ed to furnish <br /> �ratcr during thc 3 streM or <br /> P�y may (hus bc cut offsor bc liable por an�edamages for itsut�lure'sostosdo. <br /> ApP'-icalion No..�l��-� < <br /> ....�......_. <br /> I31ucl:..._._. .. <br /> . ...........................Lot... .......... <br /> .._._.....__....... Add.._.._._............... <br /> No......_..�/_-'�= � �_� t! . ...._. .. <br /> ......... . <br /> ......................................._.........................._. . . <br /> - -_�-._.Slrcet <br /> ............__..............__........_...... _........... <br /> The �vork to be execuled by....__..__. � . . ............................................. <br /> ......... ._.__._ .. .Plumbcr <br /> Stat�c sizc of lap. ...................... <br /> -/y��T�P to bc inscrted in thc roain. �� <br /> t, L.. - <br /> - —.-..._..Nater closet � � <br /> � t� � . <br /> ._...1 Bnth , ,G-f'n <br /> L'rinal 1, <br /> �:[CLbII�' <br /> �� --�-��-_.Ylain faucet insidc �, <br /> ---..-..._.Sidc u�alk washcr � i <br /> � �-�-...._Hose bib outside 1,/�1�i ,�. <br /> ri ,i <br /> . -..........3iase bib for Uuildin6 Purposes � '��/ .�, ' <br /> .. -...........Hosc bib inside �n'���� ° � <br /> --..-........Bib tor stable containing._.............._.sla❑.. � <br /> � -- -�-.....Numbcr of persons in famiip <br /> � �._Numbcr ot rooms in buildinF <br /> Thc premises arc lo be used as a.... .. <br /> 7'he owner of ihe premisrs is..._ . . ... . . .. . . . ... .. . . .. .. .... <br /> TSc agent is......_......_.......____. __._... _ .. .. . . . . . .._... .. .. _ ._ .. _ .. <br /> 'Chs applicatiun. althnug L signcd, sh�ll nol Ue. .........�....P... ......... ............ <br /> nccepted bp the Supenntqodent the 1 a �din u on the City, until <br /> r D�tmeqt , _ <br /> Siened.. ' � <br /> �?.Y..,_.2 t �_ C < i�i <br /> .._.. . .... <br /> �Vcrrp'c,; � . < . ..__.....�lpplicant <br /> . . . . . .. .. . .. .In.. . . 73r... <br /> . . ... .. . . . .... . . . . .._.....__.. <br /> S��perintendcnt. ...... <br />