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I <br /> l • <br /> � � <br /> 1 <br /> / ' ' � <br /> W. D.Porn 4 <br /> CITY OF EVERETT-WATER DEPARTMENT <br /> APPLICATION FOR WAT�R <br /> AIl blanks must be filled in or crossed ou[ <br /> �5 �� � c- <br /> Evcrett..............._..........,r................................................1�3_.._.S� <br /> TO TIiE SUPERINTENDENT OF THE WATEA DEPARTMENT: <br /> CITY OF EVERETT: - <br /> i hereby apply tnr the use of water in accordanee with ihe rules and regu- <br /> 1:�Iions of thc Natcr DeP3rtmenl, for purposes and [ixiures sta!ed below. <br /> Durin�; thc time thai any of thc walcr mains may bc taken uP by reason <br /> o( any improccmcnts authoriud Uy thc Cily o( Evereit, in or of any strcet ot <br /> alley ir, which they r.vTy have been]aid,the City �vill not be required to fUrnish <br /> water during lhe progress of such improvemenis lo any cc���umer whote sup- <br /> ply maY thus Ue cut o[t, or Ue liable for �ny damages fur iq ;ailure so to do. <br /> r"�- �.:.�^>...:, � = � ,.� ., .. " �: <br /> ..r.'r' ... . . ApPlicaJion No... { .:: < � ..... % ' / <br /> /_ iJ. , - <br /> Block. ... V.... . .... Lot . ._...... Add ..:.... ... ...._.._ _._. . ., <br /> � , <br /> No....___.._._..._.._. _ y.J ..d_�� . .....:�•rc.� . _..._ Strccl <br /> ....__................._.....................___............._........................................................................_...... <br /> The �vork to be execuled by................__........_._._...................._. . ...__..Plumbcr <br /> Statc sizc o[ tap. <br /> � .�_��_..Tap lo bc inscrled in thc main. �� , !� � <br /> .....Natcr dose[ „ , � � - <br /> � ............._.IIath , �/!� ,, �.�"/ <br /> � ................Urinal <br /> ......._.......Plain faucct insidc <br /> ................Side walk �vashcr . �� . Lc_� . , �, � . <br /> ._.........._.Eiose bib outsidc - :',:. G / , / <br /> Y �9' c' " <br /> ..__...._......Hosc biU for building purposes ��, , � <br /> ................Hose bib insidc .!� -� <br /> .' , (,:-�c1'�p (/� <br /> .._._..._..Bib for stable conlaining_................'.slalL........,_........ ��. <br /> ....._... ...Numbcr of Pcrsons in tamily i ;1/"S. �« L / - <br /> __._ ......Numbcr of rooms in build�n� . � <br /> The premises arr. to Ue used as a.. .�j.-f..�- . �-��"����'� =�f-<- <br /> _ <br /> The owncr of the prrnnses is _ . ...... . __ . .._ . .... _. ✓ <br /> ThcaScn: is......... .. ._..._....._. .__..__ .._....__ _........._ _.._. .. <br /> This applicalion, althout �iCnc , '�311 net bc bindin�+ upon thc Cit}•, until <br /> accepled by the S.�u�erinlendent tii^ ,��ter Depa�en <br /> SiFdc�............................. ... .............___..__ ..__.....__._.Applicanl <br /> A,srpted...___ __ . .. .1R.._.. By......,.._ . . _ ._._..._ _... <br /> ...... ....Supc�mtcndent. <br />