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w. o. ro,m a -�.' '- �" � <br />CITY OF EVERETT-WATER DEPARTMENT <br />APPLICATION FOR WATER <br />All blanks must bc filled in or crossed out <br />Evcrett ....................... .�yr .�-,tc........ �..........._.._....19 l..`..� <br />TO TI{E SUi'ERINTENDENT OF THE WATER DEPARTBtENT: <br />CITY OF EVF.RETT: <br />I hcreby apply for lhe use ot �vater in nccordance with the rules and regu- <br />)�tiuns o[ the Water Department, fur purposes and fixtures stated bc]on•. <br />During the lime lhat any of lhr watcr mains may bc taken up bY rmson <br />of anp improvements authorized Uy thc City ot Everelt, +n or of any street or <br />alley in which thcy may have bcen laid, the Cily will not fie required W furnish <br />u•ater during llie progress o[ such improvements to any consumer whose sup- <br />ply may thus bc cut o[f, or Ue liable tor ar,y damages [or ils failure so to do. <br />.1�plication No.../..l.f_�!.'.�. <br />Alock_ ....� ...... _. Lot...... �_.... .. Aud. / .:L.:Lar�„-Li�:.�... <br />No. ... �..�G j ......J...�cy...�"-r:r- N:..�. ......__.. ..._.Strecl <br />..._. _......._ ..............................................................................._......_............._.......... _ _..._.......... <br />The work to Ue execuled by......_...._.__... <br />Statc sizc of tap. <br />.�.....Tap to be inscrted in the main. <br />....._........1Vatcr closet <br />..__.._...._..._ _.. .. Plumbcr <br />, �: �..Bath / � , <br />'Z- .- .c - �� <br />. ..... � . ' I <br />_. Urinal / �t�,� ��'� <br />__..._.. . 1 t�l�`� i C�/ <br />. . _ ..._...Plai,, faucet insidc Flr �r <br />._......_...Sidc wallc washcr G ��i GJ� <br />._...__.._Fios: Ulb oUiSIdC '�' �+�°'.�- r� <br />ti� <br />.__..........Ho�e 6ib tar building purposes A <br />_........_..IIosc bib insidc � <br />.-__..........IIib for stablc containing...__...._..__stall.__ .._ _..._. <br />...__._......Numbcr o[ persons in tamily <br />..� _.......Numbcr ot rooms in building <br />The premises are to be used as a ..............._.__... <br />Thc o�taur u[ thc prc�nises is..._._.._ .._. . . ..._._ . . ......... . ... . <br />,r � <br />T:ie agent is.._._... ._.......... _._.... ._.__......._. _....__._ .___. <br />This applicafion, altho vgned, sha11 not bc bindinS upon thc City, uniil <br />acceptcd by lhe Supc�CiGq{ t of the Wat � Dep�rlTen[. <br />Si.:nu�'�Q'. 4^.`�__� �� _..._..Applicant <br />__ �. .. . __ _ <br />Arm,,;cd . . . _ _7�. i3v <br />__. �.__.._... ._... . ..._._.___..__._...._.... <br />Superintenri nt. <br />