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, . <br /> W.D. faim 6 " � <br /> CITY OF EVERETT-WATER DEPARTMENT <br /> ' APPLIC�TION FOR WATER <br /> :111 Ulanks must be filled in or crossed out <br /> E V L'[CLI�........_._............._..__._�.:....,r.c:._...: ..'..............I B_'._..<.. <br /> 1'O THF. SUYF;RI\TENDENT OF THE WATER DEPARTTSENT: <br /> CITY OF EVERETT: <br /> I hcreby apply for the use of waler in accordance with thc rules and regu- <br /> lations o[ U�e \Vatcr Departmenl, for purposes and fixtures stated uclo�v. <br /> During the lime thot any oC the �ratcr mains map be taken up by reason <br /> of any improvements authorized 'uy the City u[ Evcrclt, in or of anY street or <br /> ❑lley in u•hich they may havc been]aid,thc City will not be required to furnish <br /> �vater durinF the Progress o[ such improvemcnls to ^ •v conswner whose sup- <br /> ply may thus be cut ott, or bc liable [or any dama� � ior its failure so lo do. <br /> Application No.../.:�.,/..:.�:..:.'l........_ . . . . , .._. <br /> 231ack........................ ....._...... Lot. _........Li. .._................. Add....��� : : � _. . . . <br /> __._ . . <br /> ' � '� -.i ' � �� ........_.Slrcct <br /> A`o........_._..i.......�.�.:........_�....r,..l...,:�L.:.n.................................. <br /> � .. ._.... ............. ..... .._........ ........... ........___.. __.....__. .. ......... ._...._. <br /> 1'he work to be execuled by..............._._. . . . . . . _ . . . I9umUcr <br /> Stalc sizc of tap. . <br /> .. . .�..:::._.T:�p lo be inscrted in!thc main. <br /> _... ._....Nalcr clusct . . <br /> . .............Sath �j"n . ._.: �� ."- . <br /> .__._.........Urinal r�, ., ` ., . <br /> . . ._......Plain taucet inside �""�� �. :-., . <br /> . .�.re(t ' <br /> . _._.......Side walk washc�-������li ;i�"i. . .. <br /> -� <br /> . _..........Hose bih oulsidc <br /> _...........Hose 6ib for building purposes <br /> . ___.......Iiosc bib insidc <br /> ' . _._.........BiU tor stablc cunlaining... _...... .._ st:�.11. ... ... .. <br /> ._.__...NumUcr n[ persons in fanr,I>� <br /> ._......NumUcr of rooms in buildin�: <br /> 'Phe premises :.re to be used as a_...___.. .. . . . . _ . <br /> 'Phc owner of the premises is_..______. . ...... .. . . _ . . <br /> 'Chc aHcnt is . ..._... .....__......_. .....__........ ._..___.._ ..._...... .. <br /> . .. ...._..... . <br /> 9'his application, althouFh signed, shall nol be bindir.�upon the City, u.itil <br /> :�erepicd by thc Superintendenl ot the Walcr Depurtment. <br /> 1��.,., %'. . • <-i r. <br /> Sirned.._.J.1.r..f..�_...�.r.i.i5.c C.�,�_�._L./�t.xS:L:...-..Applicant <br /> � :1�n�p;r:; . . . . i!!. .. By_ .. .. . _. . . ._._....._ ._. ..._. <br /> Supm�intcedmit. <br />