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�,� !Go -'�---i. <br />w. D. Fum < <br />CITY OF EVERETT-WATER DEPARTMENT <br />APPLICATION FOR WA.TER <br />P.II blanks mu�t be filled in or crussed out <br />. C� � ; cf /�5- ._ 19.•"� ✓ <br />hverett ___._...._ ... _...__/ ... _ _ ... <br />'I'O 7'71P: SCPi:fitl7Y:NDGNT OF THE WAT�R DEPARTA7F,NT: <br />CITY OF EVEIiETT: <br />I hereby appl}' tnr lhe use of ivnter in accordance wiLh the rulrs �nd regu- <br />lut�.en� of the �Vatcr Department, for purposes and fixtures statcd U�4o�:. <br />During thc time that any ut lhc water mnins may Ue taken up by re:�son <br />of :mc improvemenl=_ authorized bc thc City of Sverett, in or of anp strect or <br />;�.P�•���in which thcy nir•� h:rvc bcen Iaid, li.r City will mt bc rcquirrd to [urni��.h <br />�>atcr durin� the P�obress o( such improvements to any consumer whose sup- <br />Fd�; may thus be cut otf, or bc liablc for m�y a::rnagc? [or its failure so to do. <br />Application No..../..<.�'../�...�7............ . <br />.i <br />itlo.k.........._ �....._ ................ Lot._........�.t..?............... Add..�:::'C.,,.,,.:_..,.',:rr..i, <br />N�, �!l".�.� - ��� ..... , <br />___ ........... ... . .......__.<�................_._.__.....__.. ........ . ....Slrecl <br />The work to Ue execuled by_.._........_._... <br />St:de sizc of lap. <br />.<��. Tap W Uc inscrted in Lhc main. <br />. .._._Watcr doset <br />, __.....Bath <br />............_.........._.._ .....PlumUc� <br />1�'�' <br />// /��tv` � <br />t-, � <br />4"��4`' n �/ ��1 <br />....... ..._Urinal � � <br />/' n� '� t <br />.nlain faucet insidc 2 �� '�� <br />. . ...._.�.Sidc walk washcr Clty. � "� �U�t .�� . <br />_. ..Hosc bib outsidc �Iey,_ � FI.�:. <br />\a[�C/� <br />.__.Iiose Uib for buildin�' purposes .,. D��„ <br />. ._.._ Hosc bib insidc <br />. .. ....Dib fm s:ablc conlain:n�...._._...._..._slall__.._ _ . <br />.. ._.NumUcr of persons in family <br />��. ....Numbcr of roo;as in building <br />,P!���� premises �rc to bc used as a.........._._._....__............_ ... . ... <br />'fh�.� nwner of lhe Premiyes is_........... .._.__ _._.. __....._ __.__ _. _ . <br />I�,lr JqC}l� IS ....................._......_ .. _ . ... . <br />.__.. __..__ ......................._....__._...___.. . <br />7I � il,;uion, allhoy{.h ti�gned, =hall not Uinding upon the City. until <br />��-r�� � I b� ��„ SuperinLen nt of/he �.ter py�rlment. <br />/ <br />tii�med _/.. ...�:Il _�-�, ._.2i1�'::I�1�?!.^---+1PPlica �t <br />' / 1.'!. Ilp. I. . . .. <br />��..,: � � p: i, �, . . _ <br />� N�,���i i nli�nni ni. <br />