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J-- <br />W. U.fc�m e <br />CITY OF EVERETT-WATER DEPARTMENT <br />APPLICATION FOR WATER <br />All blanks must bc fillcd in or cro�sed out <br />2ivc^clt�.......... _......___.... � _:...�� _._ ._. 17.��_:.. <br />TU 7'IIh; titiP};g��'�•gyDENT OF TI'E LNATliR DEPART1tENT: <br />CITY OF EVERETT: <br />I hereby� apply Co� thc use of �cater in acmrdance with thc rules and re�u- <br />Lrtwns oC the �Vaicr Departme�t (or pmposcs and tiatures stated bclu�r. <br />During the Lime lhat any u[ lhc waler rnains may bc takcn up Uy rcason <br />of any 5nprovcmenls authori�ed Uy the Cit.Y' o[ Evcrctt, in or of any strcet or <br />allcy in �ehich they may have been laid, the City will not bc required to furnish <br />«�aler during the Progress of such improvements to any consumer whose sup- <br />pl}� may thus bc cut otf, or be liable for any damages for ils failure co to�do. <br />.1pplicationNo. .�� �/.. ��« �''��` `� . �. <br />Bluck ........... ..� �% � � ..%., .. .'— <br />. . .(.... ot.._..._� ....._. "� ABd-..� ... . . . . <br />70._ ._ .........._ ... !j';! �/ (/ ^_ ��...lt:.... ,(„�C��....... _...Slrccl <br />'I'he work to be executed by....._........_.._...__._.._._.....__..__.. ..__.. Plumbe: <br />Statc sizc o[ tap. <br />'1 < <br />' .Tap to bc inscrled in thc main. „. :' � <br />,�...-'......Watcrdaset ,�C(-!-.; _. . !�-. . ._ <br />. . <br />'�.......Bath ,. <br />_.__.........Urinal � p. . <br />......__......Plain faucet in=idc <br />.. ........_._Side walk �vasher <br />._.........Iiose bib outsidc <br />. ............Fiose bib for building purpnses <br />._.._......_.Iiosc bib inside <br />.._._........Dib for slable conlair.iug..___._.........sta❑... .. <br />. ._..._._..Number of persous in family <br />J f......_Numbcr ot rooms in building <br />Thc premises are to be uscd as a .................._.__...__.__._._ ._ .. <br />1'hc owr.cr of lhc premiscs is...... .._ ..... .___... .___.__. .___ _... <br />9'Sc a�ent is....__......._............_.__.. <br />. .. ..__......__...... .._....._........_. ._......_.. ....__._..... <br />'I'hs :�ppLciilnn, althnugh signed, shall not bc bir.ding upon thc City, until <br />.;cront�-,i h�� ;ho Supc intendent Lhc Water Department. <br />�?�%Z� <br />Si cncd.; ✓:.:....__ ........... ............ G�-r�r��_�:Yr��........ Applican i <br />� <br />:\��crptc,l . _ . 19. .. Ily_. . <br />_. _._ . _ ...._. . __ ._ ._. <br />Superiutrndcnt. <br />