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i - <br /> W.D. F�:m a <br /> CITY OF EVERETT-WATER DEPARTMENT <br /> APPL�CATION FOR WATER <br /> All blanks musl be filled in or crossed aut � <br /> Evcrelt, . . ....._ � c r' �.� <br /> : .....__... .............._. _. _....]A_�._... <br /> TO T73E SUPERiNTENDENT OF THE WATER DEPARTMENT: <br /> CITY OF EVERETT: <br /> I hereby apply for lhe use of water in accordanee wilh tFe rules and rega- <br /> lations of the �i�ater Department, for purposes and fixtures slaled bclow. <br /> DurinF the time that any of thc water mains may bc taken up by rcason <br /> ot any im��rovements authorized by the Cily of Evcre[t, in or of any strect or <br /> alley in which thcy may havc Uecn laid, the City wil! not be mquir�d to furnish <br /> water during lhe progress of such improvements Lo an, consumer whuse sup- <br /> ply may thus be cut otf, or be liablc for any damages for its failure so to do. <br /> Applicalion No..-_�_�.�.l...`. �� <br /> ........__.... <br /> Hlock. . .. ......... ......_Lot ...._ ......._. . ._ ...... Add. <br /> . _ ._.... .._.._ ... _. <br /> No....... :..-.,' -_ � _l:L 7.c.._,_,.... ._ <br /> .. . ....._... .. .....S lrc c t <br /> ..._._.............................._._...................................................................................................._...... <br /> The work to be executed by...._...........__. . . ._. . _ ._.. _ . .. ...PlumUcr <br /> Slat sizc of tnp. <br /> . .��....Tap fo be inserted in thc main. <br /> ..._...........\Vater closet <br /> ...I`......IIath <br /> ................Urinal <br /> .............._Plnin taucet inside '�� � t� <br /> ._.............Sidc walk washcr ❑r p p <br /> .Hose Uib �utside Ul�b 9 �p/.� .� �,., <br /> . ........... <br /> . ._._...__Hosc bib for buildin � � � �� <br /> c �urposeEity of Everc�U�`� " .� . <br /> .___......_]Iosc bib inside �1'�7FI2 ql:�'I, '� �, � . <br /> .._._.........6iU foc sLaUle containing.. __........__.staiL__.. � ...� -� <br /> ._.............Number ut persons in tamil,y� <br /> ._v::......-Numbcr ut tooms in building <br /> Thc p�emises are lo Uc used as a...__.__. . . . <br /> Thc owncr of the premises is.....__...___. . . . . . . . . . . . .. . .... <br /> . ._. __.. __.__.. .. ._. <br /> ___ ... . _... <br /> TScagent is...._................_......__._..__........_ __._._._......__. <br /> __.__._._....__.__.. <br /> 7'his application, althouFh signed, shall not bc binding upon lhe City, until <br /> accepicd hy the Superintendent ot the Water Depariment. <br /> Si,ned _'..'..::C • � � .... • -� ' � <br /> .. . .-..__ �. .�:-.-....___Applicant <br /> A^ceptei; .. . . . . _. ._. 19.. ... 13y . ... _ _. <br /> .. ._.._.._..... <br /> _.. .............. <br /> Superintendeut. <br />