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'� c; i �/ <br /> W.D. Form 6 <br /> CITY OF EVERwTT—•WkTER DEPARI"MEPdT <br /> APPLICATIOr�� FOR W.aTER <br /> AII blanks must be tilled in or crossed uut <br /> _.._..../.. ."�_._>......7............_. (w . <br /> Evcrett,....._.......... . .......l�J...". <br /> TO T33E SUPERINTENDEhIT OF T14E WATSR DEPAR'CMENT: <br /> CITY OF EVERETT: <br /> I herehy apph� for the use of water in accordance with the rules and regu- <br /> lations ot the Watcr Department, for purposes and fixiums stated below. <br /> During thc time that any of thc �eater mains may bc taken up Uy rca5an <br /> oC any impro�•ements aul}�o:ized 6y thc City of Evcrelt, in or of an}• street or <br /> alley in which thcy may have been laid, the Cily�rill not bc required to Nrnish <br /> water during the progress of such improvements 'o any consumer whase sup- <br /> ply msy thus bc cut o[f, ar be liable tor any damages for its failure so to do. <br /> �/ . } . <br /> ApplicationNo... ! � ✓ t� . • <br /> ...... ........................... <br /> - � 1:1 � <br /> Block__..__................._........._Lot........_(/._................... Add." ' . .. � . ' <br /> .�._ Y.....�/.I:��i".x <br /> No....................... .�.�....:.J_1......�<�E>!..-.e.d........................._54ec1 <br /> .... .......__................................._......._......---.........................................------....._.._.............._... <br /> The work to be executed by_.._................__.__........___.. . . . ._.. Plumbcr <br /> Staic sizc o[ tap. <br /> , / <br /> . `,i�,...._Tap to Ue inscrlcd in thc main. <br /> . � .Water closet � <br /> ._/..... �i <. u <br /> ........Bath . l-� )fr ._ S. <br /> � <br /> . .__........Urinal J,,,�/���� •-�;,_f ,2. S,_.(rv <br /> ._ __..... .Plzin faucet insidc I�`i <br /> .. ......Sidc �ralk tvashcr < 1 � ` <br /> — Ciiy c� Everett <br /> . ....._....._Iiasc bib outside JA/ATER DEp'�'. �{,'�'� �`` <br /> .._....._Hose biU tor building p�rposes '. �' � � <br /> . ._ ._.......Ilosc bib inside <br /> ..__.__ ....Bib fur stabic conlaining......._...........stall...__...._. _. <br /> � ......Number o[ persons in tamily �]�] �� <br /> .__......Numbcr of rooms in bmidmg �r r , l �� � �,l-..t� �� <br /> The premises arc to be u�ed as � ._.. ) . � 7 '. ,_._ <br /> The awnet of the prem�ses is._ // G�� [/�-�J�r <br /> __... � r,C�a r�� <br /> Thc agent is............... .._ ._ ...._ � s.a:...ct_<�_._ i ... <br /> 'Phis application, althou�h signed, shall ��oo t Ue binding upppon the City, un;il <br /> aceepled by lhe SuperiMen c t at ie Wale�Depm�t��Fr� <br /> ! � <br /> Si ined..._ �:_ _ .1 << - .��,.J,�j4� f._�,. �T --._._Applicanf <br /> A�.0 p4 cL. _ ..79 BY. i . ....___.__..... ..... <br /> � � SuperiNcndcnt. <br />