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W. o. Fe,m < <br />CITY OF EVERETT-WATER DEPARTMENT <br />APPLICATION FOR WATER <br />All Llanks must hc tiiled in or crossed out <br />Evcrett,....... . %i � : .�%.. � _ `.._.......... . .191.. � <br />_......_�.. _... <br />TO 'PIiL 'SG:'ERIN1'ENllENCIT�Y OF EVERETI.DEP:IRTMENT: <br />]ationhof Vie \p'��'.r Drpartn ent, for purpases nd fiztures�stat deUejo�;�regu- <br />During qic timc that any ot thc walcr mams i�ay bc L�ken up Uy rcason <br />o[ �ny improvements authorir.ed by tim City ef Evcrclt, in or of am• strcet or <br />nllcy in �ehich lhcy may havc bcen laid, the Ctty wili not bc requirrnd to furnish <br />rl�lm�yvthus Uc ut otfSor bculiable for�.� y damages for�tlsUfa re'so to do. <br />/ _ <br />Application No.._/..��.`:...:1......... <br />ISlork.._._ y _.. /. Add ..:... ..._.. .. _. <br />^.. ...._. �Lot . ........ ,�� . <br />. <br />Na. � . � `1.....�!J.�.lL`..�-c.:.. . �� "f � �.�... ._.Slrccl <br />._,.: _.. ..... <br />' ��.. <br />s <br />... .... . _ .. . ................ <br />;,..�f... . .ti �-�. ... ..... ...__ _. <br />� —�-- PlumUcr <br />Tl.o work to Ue executed by . ._. ___ -� �- - <br />SLitc size ot l. p. <br />.....Tap to Uc inscrted in thc main - <br />_ „ <br />/ <br />.. ..... ......R'atc. closet � "� <br />_...II,�th j 1�; <br />..._....... �' / <br />....Urinal <br />...........Plain faucet insidc <br />_..__._....Side walk washcr <br />...__......_.Ilose bib oulsidc <br />. _........_..Hosc bib for building purpascs <br />,.._..........Iiosc bib insidc <br />__._.........Bib for stahlc containing........_..........sta1L.. __._._ _... <br />. _.___....Numbcr of persons in family <br />. . __...._NumUcr of rooms in building <br />'I'ho Premises are to bc used as a ........ ......_......._ .._._.. .._. .._. <br />7'hc oa�ner of thc Premises is. .........____.._....__......._......._........_...... .._. .... <br />� _....... _.... _......._ ................ _. _ _.. . . .... <br />'Chc agcnt .s._...... ...._......__._..... <br />....................... <br />Thi, applicotion, although siFned, shall not be Uicding upon the City, until <br />arceptrd UY ���c Super/��'+{�endenl of tho Nater De�pQarbnent. <br />Sipned V`�ZG� �f__��r`-!-"'h ..__... Applicant <br />.1^�ep;c�L__ . .._.. 1��_ Ac _...._. ....._. .. .........__.... <br />- Superintcndent. <br />