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��Z"�Q rq"/` �_". . ' _ - _ ' 1=.�.��r, ro_;. -. <br /> M'. D. form � IS(rJ-1-I)L.P. <br /> �CfTY OF EVERETT-=Water Department <br /> Applicatior� for Water <br /> �,�y,ma.,' .,;; .411 blank=must be filled in nr croceed out . <br /> !�.�i`�`:,�A <br /> � ' " Evcrett....-'._. <br /> ___'� � / u .'___'..__19I :1".. <br /> _____""___ <br /> , TO THF.SVPERIN7'ENUF:N7'OF THE WATER DEPARTAfEhT, <br /> � CIl7 0F r.YERETT: <br /> � ' 1 herehy apply(or the use of wmer is;iccordance with Ihr rules�nd re.qul.^.- <br /> .tinns o('Phc Water Depnrtm�nt, for purposrs and fiztures stated I�cirnv. <br /> Uurinu[he time that anp o(�he watar mains mar bc mken up bY rcason ef <br /> snp imprmemeuls authorized 6p Uie Ci�c nf F.verett,in iir of any strcel nr aliey iu <br /> which they may have been laid, •he Ci1y a�ill not be requireJ to �,urnish water durioC. <br /> the progress o(euch impmveme�its to nny rnnsumrr whose s•,pply may ihus be cut <br /> ofl.nr bc liable for any dam,a`g� ,�r it9.L•iil�vc sn lo da. <br /> � � Applicnlinn No."_�T '.r'�"" <br /> ';1.1i..'' I;lock ------- --' ---- LoL---"� —�-(---Z' ----Add <br /> '"'t.6:.i5:; �-p .___._____.___...._ <br /> � � Nn..__� n Me4�"C/__i-1.'....Streel `_., ( <br /> ./nDA�-f.G<.ts-�� -/�c./Y�c�' . er�.�.�?�La-�*� <br /> � � - <br /> Thew�orktobeexecuti�dLY_-..-..____'__ __._ _______._._. Plumbcr e <br /> Slatc size�f tap. <br /> ..��_.Tap tn tx inscrted in thc main. <br /> � � � c �� <br /> _____�___Watetcloset ' �. �'�� ,� %, <br /> .-_._I..Bath � <br /> ; <br /> ____' Urinal ' . <br /> _.____.___Plain�fancet insidr <br /> . ._____Sidc walk washer <br /> ...___._Hose bib uutside 4, <br /> __"___liose 6ih (orbuilding pmposes , � <br /> ' ---. .""_Fl� r.c bib insidc . .' <br /> __'_"_'.Ri6fnrslablcrnnlaining._'__"__..s:. I___ '_" <br /> ..__ . ., tiumber of persans in (amil�. <br /> � ._o`!."'Numbcr of mnm�in building <br /> I 'PheP�emisesaretn6cusedasa"_ .._.""_... .,._"___"_ " __'_' <br /> .. Thcawncrafthcprcmisesis ___'_ . _..___ .__._ _._.._ <br /> .__._._._. <br /> � Thcagentie ___..__ _ . <br /> .-_.__'__..._ . _ <br /> .__ '_. ._"_'. .'___'__ <br /> ' ..... This application.although signrd..hall not bc Lind��ng upon thc CitY. �mtil ac <br /> cepled bg The Superinlendrnt he lV� Uep.rt enL �_`. <br /> � ✓ . <br /> SiKncd�'_'_ '._n..___ _ _ ' _ _"��licant <br /> A�•ccpicd/D._/�'. _�� 13}•-� <br /> '��``--yy _'_' __. _'___'_-' <br /> � s�u•r,m.n^.�..i <br /> .�- ._ . <br />