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�=?�i,, _� <br /> i;.I).1-�•in d if.�n_-F..P.('o.- [�B6-:i ' . <br /> City af Evei�ett�Water Department <br /> APPLICATION FOl� WATER <br /> All 61'nil:s mueL bc filled in or crossrd out <br /> ;:��,ett......._�,JJ/��... �.:.........._....._...isz j <br /> TO 'IH7; :UI'L'J211TI5}iLi�:t:T OF THP ll'ATF.$ DP•.PABTDIEYT: <br /> CITY OF EVTI;CTT; <br /> 1 6cebg npply� ior ihe u�c nt a�ulrr in accardance �citlt tlic rvles nnd regu- <br /> Intions nf the Rater lleparLment, for pmposer nnd fix�m�rr, stnled beJow�. <br /> During t!m Limc thnt nny of thc �e:rter mains may be teken up by icason <br /> oC xne improeen�ents aulhorized Ly ihe Cih� oC Ii�rrett. in or nf nny strect ��r <br /> alley in n�hich thep ma}• hnce bren laid, the Cily u�ill not bc requ:red to tnrni��h <br /> •.�'nter during the Ill'O(jICSR Uf FI]CIl inq,revements lo nny concumet whose �upul;: <br /> m:�y thus bc rul otf,(u/r Lc linbplc tor ;,rv damnges far ite failurc eo to do. <br /> Applicntion TTo..�}...�..,�.p..........._-� '7 / � •S <br /> ISlock... ... ., I.ot ._ .... Add_. _....... <br /> / / / _... <br /> ......_. _... <br /> Ko._...�7�!'�iJ. .. .. .c.]?Z�Lv!'� ...._Btreet . .__. _ . . <br /> _ . . .. _ .......... ..........__._.._ _ . ........_ _........_........._... .. . � <br /> ._. _.._._...__......__. <br /> 'I�he work to be executed by._. r . _ . _....Plumber , <br /> Ft:de size af tap. <br /> �b n� __. <br /> J <br /> �-����_..T¢p to be inscrted in the main. <br /> -..':..._._...{i'aler closet � <br /> ..._`.:.......Bath .. , <br /> ._.._':.....Urinal <br /> -._.F�:...__FI¢in feucet ie-idc . <br /> . ......:.:..Side n'n1k tcn-l�or <br /> --....�.......Iiosc bib out��-idc <br /> ._.. :........I4ase bib tor baildiuR P:u7���.:<< <br /> ... _�...:_....liose bib insidc <br /> ._........:....Bib for EtnLlc con!nining..__._. ......._s,all___ _.. <br /> _ <br /> .--......._.Numbcr of Pcrsons in temily. <br /> .����_l/....Number of rooms in ouildin� 9 <br /> 'PLe premiecs arc to be used as n .: T �Ze„-'�. <br /> • f_ _ <br /> 7'he ou•ner ot the premises �v , .. � •_ �f�( �� <br /> " C l '- / . ,/fL G C__ <br /> Thc ngent is.................___..... <br /> _._...._.............._. .. _. _........_....__......................__.._. <br /> This npplication, nithuugh si�,med, :-hr�ll mt be binding upon the City, until <br /> nrcepled Uy the SuPerinLcndent of,1.J�e \i'ater Dep�rtmept. , . <br /> � �� �/ �� � f � � <br /> �igned...�� � a�: { _,.:..� � . �Gtc�i�� .... Applicent <br /> � <br /> n��•�ni�a .3-.-''�-�Ji�z_ n._ G•- <br /> � 3 � �.,i_ �- _ .... .. _... <br /> l ; ,�5vperintendent <br />