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a_ / , / <br /> � _ i. f . L � .�' <br /> W.D. Porm 1 <br /> CITY OF EVERETT—WATER DEPARTMENT <br /> APPLICATION FOR WA.TER <br /> All blanks must he filled in or crossed out <br /> Ev�r�tc............._. ..../.,.._ _.:.�._5.......__ __ 1°l' , <br /> TO THE SUPf:RIYTENDENT OF THE \VA:ER DEPARTMENT: <br /> CITY OF EVERETT: <br /> I hereby npply for(he use of water in acmrd:mce with the rules and regu- <br /> lations o[ lhc Waicr Department, for purposes and fixturcs sLated bclow. <br /> During 'hc timc that any of lhc watcr mains may be takrn up fiy rcason <br /> of any improvemcnts authorized by thc Cily o[ Everetl, in or ot eny street or <br /> alley in which thcy may have been Iaid. the Qty will nat be required to Lurnish <br /> �.valer during the progress of such improvcments to any rnnsumcr whose sup- <br /> ply may thus be cu: of(, or be liable (or nny damages for its failm�e so to do. <br /> . ` C/ <br /> Application No.._��1:...r_.a_........._... <br /> u�o�k . ._._ _... Loi ;.. _ naa. __ . _ <br /> Nn �. . _I . ��ks C� !..-. .... .. ..._. . Strccl <br /> _.. � C <br /> .___.._.................._............_.........._....._.................................._............................................_.... � <br /> The �vork ta be executed bY_..............._..__......__...................................PIu�iUcr <br /> State size ot tap. � � � � <br /> � rq <br /> �.-�._...Tap lo be inserted in lhe main. <br /> ..........._...�Valcr closet J� i�Q ��<" <br /> ................D�ih � �/2�5 ' <br /> i _.. ..Urinal City/p��:ret{ zi t J<'e <br /> � .........__..Plain faucet inside .5����if:RG�pi•.. � St,�3. <br /> ................Sidc walk �vasher <br /> ................Ilosc bib outsidc <br /> .._Hosc bib for building purposes � <br /> ._....._... � .c. .:c,/ �L�L!- <br /> ....__........IIosc bib insidc <br /> ...._..........I3ib for slaUle containing.................._stall.._..._......._.�L�Z c c -<.�— <br /> ....NumUer of persons ;n family • <br /> ..._.�........Nwnber ot rooms in buildin� .� i'%��' Q . �io-�'»r�� �lrC- <br /> � /�. <br /> Thc premises are to be uscd as a__.. - _...__.._�„5�����1}'<<-r�� - <br /> ..._.. . .. . <br /> The otvncr of thc Premises is...... ..._... .. . ........__��:t.e.�->e:-l�.-<<•� <br /> Thcagent is..__......_ ...._... .._ . .._..__.._ _ __....... . . _..............____... <br /> This apphcation, althnu h signed shall not be binding upon the Citp, unlil <br /> :�ecepled by the Sup inl+�ndyp t o[,r..mVt'aler Dep�rtmeont. <br /> / // ��/ ��r �t�'L. <br /> SiFn ....�/'—�"L.... �_���7:.,��✓G �.APPlicant <br /> / � <br /> A-�r�epled..._. ........ ....1P.. I y_.... .._ . ._.._ . . _ .... <br /> Supermtendent. <br />