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W. D. Faim 4 � � ��- �� ' <br />CITY OF EVERETT-WATER DEPARTMENT <br />A.PPLICATION FOR WATER <br />Nf blanks must be fiL'ed in or crossed out <br />Evcrett,...........__._..._..........._.[/...-. ...7 , <br />._.__....._ ..._._79..A7_�� <br />TO THE 3UPERINTF.NDENT OF THE WATER DEPARTb1ENT: <br />CITY OF EVERETT: <br />I hcreby apply far the use ut water in accordance with the rules and regu- <br />lations of the 1Vater Deparlment, tor p�rposes and tixtures staled below. <br />Dm�inF thc timc tbat any of thc waler mains may be taken up by rcason <br />ot any improvements authorizcd b�� the City o[ Evcrctt, in or o! any strcct or <br />alley in tvhich they may have been Inid, the Cily will nol be required lo furnish <br />water during the progress o[ such imp�ovements to any consumer whose sup- <br />ply may thus bc cut o(f, or bc ]iab]c for any datnages for its failure so lo do. <br />ApplicationNo...��;....�...� ` <br />.. <br />Bluck.. ._k i% �..... • <br />Lot _../� � Add._. ...__ _ ._.. <br />.( J _ <br />xo .. ..... .. . ....`��'.lr.... s L.rLc�c- � <br />-.. . - ...-... Slrcet <br />........._....._.. <br />_.. ..._..._. <br />Thc work to be executed by..... <br />_._..... __ . __ ... _.Plumber <br />fitatc sizc of tap. <br />�. <br />-- �-_ .Tap lo be inscrtcd in thc main. <br />._ .............Nalcr rlacet <br />................ B a t I i <br />......_..._...lirinal <br />............_..Plain faucet inside <br />.............._Side walk washcr <br />����............Hosc Uib out�idc <br />������.....-....Hosc bib for buildin � " <br />BPurposes %—t.�:c/ :!!�� <br />������..........Hosc biU insidc , "l <br />...._..........BiU for staUle containin � � —���'�=.�e <br />g......._. ........stal 1 .................... <br />.....-_._..Number ot persons in family <br />....___......Number of rooms in buildin <br />g '"7t�� �v. iC<9-../��l✓-r-� <br />The premises arr to bc used as a........ _..__._... '7/,�C'C!�, � <br />. . .... ....... <br />Th: ;�,��-ner of tlie premises is_.__ . c�� 7 ..... .... <br />3� � ...,�I«�.�< <. . <br />TSe agent is. . _. -� <br />__ <br />_.. ._.... �L 1(f:2(.i :[ f)......_...:.0 _.. <br />Tl�is app]ication, althou I))) signed, shal] irot bc Umdmg npon the City until <br />accepted by tlte Superinle {nt of ihe {Y�ter Dep rtrnent. <br />Sipned..r.�- �(F ��.221L ��..��1 <�C 7�� � i <br />� �-- - _ _Appl�cant <br />. ... . _ _....... .. <br />rl�rrp;od.__._. . . ... ... ._ 1�..._.. gc_. <br />. ... . .. .. . .. .. ..... _._........ . <br />.... Superinlrndcr.�....._.. <br />