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; , ' .�'/ <br />w. o. .�o�� a <br />CIT'✓ OF EVERETl--WATER DEPARTMENT <br />APF'LICATION FGR WATER <br />All blanks musl be filled in or crossed out <br />Everetl,-.... __...... . . __..J .. _.�._% .................. _. _ _..._I9s.'. ?� <br />TO THE Sl'YER7NTENDENCITY lF E ERETTDEPARTME'QT: <br />i hereby epply for lhe use o[ waier in acmrdance wilh the rules and reg��.� <br />lation� o[ lhe Water Deparlment, tor purposes and fixtures statrd below. <br />I 'ng lhc timc ihat any ot the water mams may bc taken up by reason <br />ot :my improvemcnts authorized Uy thc City of Evcrett, m or ot any sUcet or <br />allcy in which they may have becn laid, the Cily will not be required Lo furnish <br />water during lhe progress of such itnProvements to any consumer whose sup- <br />ply may thus bc cut off, or be liable for any damages for ils failure so to do. <br />Applicalion No. ../ ��. �`� C( i, .�. <br />' � <br />� - <br />Block.. ._ ....... Lol .. �G... `!._�j.. .... Add f�. f t f:;.:£ :<_ll�., r c <br />. ...... ... . <br />. <br />No......__...._ .....................(�l...�.LC__..._ �:����<�»<F�._...Slreel <br />..........................._.............._......._...__.._...................._.............._._..__.........__._.__.._......__.... <br />The work to be executed by........._........_.._ .. _.. ..__._ _..___ Plumber <br />state s;ze ot tap. <br />� . <br />.�.�.. Tap lo be inscrted in lhe main. <br />Water closet , � ; ,-. ._. <br />_�......... � �,.. ..., ..-. <br />�_�L:.......Bath ' .. �� _ <br />............. _.Urinal �i,� �. �.�.—. <br />__. __.....Plain faucet insidc ` <br />_. ..Side tvalk washcr ' � j, � l. �' ' <br />_..]{asc bib outsidc <br />. _ _.FIose bib for buildivg purPosas � �' � � -.«� /� �, <br />_...____.._I�Iosc bib inside i' . - -� :� <br />_...__Dib for slablc containing_...._....._.._.stall ..............._. • . .��. . � <br />� ...... Ncmbcr of Pcrsons in fami]y <br />��_.._..NumUcr ot rooms in Uuilding <br />T m P�'emises are to bc used as a._.. .....__. ._._..__ _.. ._... ._.. <br />Thc owncr of the Premises is...__ _.......__ ....... .._... _.. .__..... .... <br />TSc egenl is .... .__. ....__.. __... .._._._ _........ <br />_....... <br />/ <br />This np�licaLon �lthnuFh signe shall t be bm ng upon the City, until <br />accepicd by the Su r n.ndent o[ t�c Wat r Depart ent. <br />1 ) <br />S�P�__.,_l.��.t.....�n<e�...�.'�...... �ltr�(l>L _Applicant <br />A,..��p;zd._ ._ . _..._. ..1^...__�'13y __...._ .. ..._ _._...__..... <br />.... .Superiniendent. <br />