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4�_,..� 3-�-� �r � - - <br /> , . . <br /> lC.U.Parm�-16 J—F..i'.Co.—G-:G.RI <br /> City of EverettrWater Department <br /> APPLICATION FOR WATER <br /> .111 binnks must bc tillcd in or crosced out <br /> ' Pverett,....._.._r.,�........3..........192._O <br /> TO TISE SUPERINTINDEN9' OF THE R'GTF.R DEPARTil1E\T: <br /> CITY OF EVli12ETT: <br /> I Lereby nPP�Y for the use of �cnler in accordance�eith the rules nnd i.gu- <br /> Intions oL the R'ater Depnrtment, for pw�poses nnd fixtures stnled bcloa•, <br /> During the time thnt an}• of the watcr maina mny be tnken up by rcason <br /> of rmy imProvements nuthoriud Uy the City of 8verett, in or of any alreet or <br /> alley in a•hich they mny hnre becn ln�d, thc City will not be mquired to furnish <br /> �rater durinti the progress o[ such im�irovements to any conuumer whose supP1Y <br /> m�iy thus bc cut off, ot be alinLle Qjor :�ny dmm�ges for its lnilure ao to do. <br /> Application 2Qo.........$...?._.�'_ ".........- "� 2 S 7 <br /> Block............r.�'.t a'"� ......._.. Lot...1'?_.. ...�.J.,,o. -3 �. Add... r........ ._.._._.__._..._.... <br /> .............. <br /> No......_.�.�. �. . ._ . ..........Street <br /> .�.... .................................... <br /> .._.._......__..._......................................_.......................................:..._......._................_....._._._. <br /> The a�ork to be executed bY.-.-.-..........--�-��—�`�-.....-.......-.........Plumber <br /> St e size of tnp. � �,p <br /> ..,�?��....Tnp to be inserted in the mnin. � 'Y � S <br /> ........�.....R'ntcr claset � / x;jyN <br /> D' i �� <br /> .......�.......Bath �' \J b �.� <br /> ....._.........Urinal �p- �b <br /> ................Plnin tnucet inside �� a,0 <br /> .._............Side ��'nik tenshcr vb r'`�-\. <br /> .............._Hosc bib outside �\ l--.. �' �` �� <br /> ........Iiosc bib for building purposes =- � �' ����'- ��-.� <br /> ' g.................... � 1sC�..r� .t 1 ,`. <br /> ..._...........Rose bib inside r`'✓ � -. .�� `� 6. <br /> _.............Bib for stoble con:xmin stall_�.;...'c,,4tF� . t� �,'•�� <br /> .... Numbcr of pereons in family � . . �''�.��� <br /> .........._ _, <br /> ....�...Number of rooms in building � . <br /> The premises arc to be vsed ns n.._..�44�� -1..�-_•_�'-�--+"-1_�--�����-���-�•�-����-�� <br /> .,r of the premises is.....:�-ti.+.--K-+`'LF.a.�..�_l:..a.:_:..x_::1...4'.�'.�:"�!: <br /> �t is...................................................................................................................... <br /> ation, nllhou�h signed, ahall not be Uinding upon thc City, until ; <br /> � we Superinle�nif ent of the �Vnter Depn tment. <br /> Signed........!.v!.�NLr.Vl�t4P�'l.l�t�"tJ`......�.....Applican <br /> Accepted......�:"�.�:.:�............102.�. BY.._�.. . /6.L��U: ........ ... ......... <br /> eU <br /> �_,,:�perintendent <br />