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�Y. 0. Fmm E . . �-' ' <br />CITY OF EVERETT—WATER DEPARTMENT <br />APPLICATI0IV FOIt WATER <br />All blanks musl be tiiled in or crossed out <br />l:vcrcit�..._.__._ ___. ....i:..:[.. ...�.:�. .'...(......_ .................19i -.:.'". <br />TO T2IL•' SUYER]\'7!?vD13RT OF TfIE`WATF.R DEPARTMENT: <br />CI1'Y OF EVF.RETT: <br />I hercby apP�l' f�r ihe use nf watcr in asordance with Lhe rules and regu- <br />]:itinns ot the Watcr Drpartn��rn[, for pu;poses and tistures staled bclo�v. <br />During thc timc that any ot thc watcr mains may bc taken up by rc:�san <br />af :my improvemcnts a�.rthori,ed by thc ^i�y of Everel[, in or o[ any streM nr <br />:illcy in wLich thcy may have becn Iaid, the Cily will n�t hc rcquircd to (urni.h <br />�i•alcr during thc progress of such improvcinenls lo :uip :onscrirr ¢�Iu,;�..: <,,,.y <br />p1y may lhus bu cU[ of[. or bc liablc tor any damaFc,s for its : ailun� =n to Gc <br />APPlication hol���r� .................. <br />Dloc'.c........_�....._ ...............LoL...i�'._„'- ._.......Add.. <br />Yo....._-,�- i�.�.—,._.�i:.t.. rrr�f . .:.�^r/' . .; - ,. .. . . <br />. , . ...... ... .. _ .. _ 5 trc � ' <br />� /G. .,� ' : c. <br />. ........................................_........................:T..1: _. <br />... :........_' .:................................. _.......... _ _. <br />Tlm work to be executed by ..............___ . .. ..... . Plumhrr <br />Slatc sizc of tap. <br />i <br />- ��.%......Tap to be inserled in thr- m,iir <br />_____.....\4aler clo=et <br />. ..-�.:::...Dath <br />.-.-....__..Urinal <br />� <br />......_._.Plain faucet insidc ,�,'� ` <br />...._........Side ���alk washcr � . <br />�% r : <br />.._..........IIosc bib outside �+° <br />. �c <br />. . __........Hose bib tor Uuildinrt purposes �' .. � <br />-.-........._Hnse bib inside , <br />__._.........Dib for slablc containin�_ .. . _..,t��ll <br />- -............Numbs of persons in fanrl�� <br />_ ..:�..._._Numbcr of raoms in buildinr <br />'Chc premie�es nrc to bc used as ,i .. ._.. . <br />1'hc owncr of lhe premises is....._. _.. . _. . . . ... . .. <br />.. ....... __. .. . _ _. .. <br />'I'hc agenl is......_........._...._.......... .. . . <br />...._.. . ....._. <br />'Chis applieaciun �Ithn���s�gned, sha]] not be bindmg upon the City, unhl <br />arocpted bY the Supc�intei ent of thc �V er jepartmenj <br />Si�ned �'- �� � .....� t 1 _. �� <br />, . -... . Applicant <br />.����'�-p:a; . . ;n.... Il�� <br />. .. . ......._______. <br />Superi�dr�idont. _.. <br />