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l <br />W. D. Poim 6 <br />CITY OF EVERETT-WATER DEPARTMENT <br />APPLICATION FOR WA'�'ER <br />All blanks must bc filled in or crossed oul <br />Evcrett,........._. �.'�:�...._ ... :�..._. ......__. ._ 19 °....". <br />TO THE SUPERINTENDENT OF TIiE R'ATER DEPARTn1ENT: <br />CITY OF EVF.RETT: <br />I hcreLy applY for the use of water in accordance wilh lhe rules and mgu- <br />lalions of lhe \Vatcr Department, for purposcs and fixtures stated belo�v. <br />During thc limc lhat any of the �raler mains may Uc taken up by reason <br />uf any improvemcnls aulhorized by tLc Citp of Everetl, in or of any strect or <br />allcy in which thcy may h:n'c Ucen ]aid, tFe City �rill not bc reqwred to [urnish <br />�eater during the prot'ross of such impravements to any consumer rvhose sup- <br />ply may thus be cul o[[, on c� liable tor any damages for its failure so lo do. <br />Applicalion :Io._.1..::��...-�.Fi...�3..:......... <br />� _ <br />Dlock....._... ......... Lot�r .�_..>....._....Add....� . _..._.�.:..-_.�:. <br />y_ i i; . <br />A* � -�.�a...` �...._.....:�...:....: �_r.�...n�.-�.._ ........................_......Slrccl <br />o._..........._ . . <br />...__ ...................................._..._..._...._....................................._.............__..__...._.. <br />The work lo be executed by_. _______. ..._. _.. ._... Plumber <br />Sta't/e siu o[ lap. <br />/;�c:.._Tap to be inscrted in thc main. <br />_ ._._.......1Valcr closet ' . � . ' <br />�.. ::::Bath . . � . <br />._. �r6''� �� - <br />Urinal ' (�;,�- " � <br />....___...._ � ' . <br />...._.........Plain [aucct insidc � . ��. t •' � �' �� . <br />..__..........Sidc walk washcr // ". . <br />...............Hose bib outsidc , � <br />................Iiosc biU for building purposes <br />................liose bib insidc <br />...._...._....11iU tor stablc containing ...................stall....___._. _-. <br />......__......Numbcr o[ persons in family <br />._ (.._....Numbcr ot rooms in building <br />Tl:c premises are lo Uc used as �. ..._.._ ...__. . .. _...._. ......__..... <br />Tht owncr of ihc Prentiscs is.... .__._ .. . .......... _._......__............_.. <br />Thca�enl is ........ . . ......_..... _._..__. . ......_.._...._ ._ _ ......... _.._.......... <br />This application, allhouph siFned, =ha11 not bc binding upon thc City, until <br />ncccPted by the Superintendent of the \Vater Departme L <br />7 r'�>� <br />Sip�eci.__.� �-��L.z�.... '� ��-�.�" `"� ._...Applicanl <br />.l�nP.c:. . _ .. . .._l°. B��_ . _. .... ____ <br />�uDw�intrndcnt. <br />