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r, <br /> � <br /> 1 <br /> � <br /> i <br /> '� <br /> �' <br /> W. �. fo,m< <br /> / � /-`,—�� �� <br /> CITY OF EVERETT—WATER �iEPARTMENT <br /> — i <br /> APPLICATION rOR WATER <br /> All Ulanks must 6e fiHe3 in or crussed o�t , <br /> � . � / :�-- • ; <br /> i • <br /> t <br /> Evcrclt,...._.......�..::.':_.:.................._......_..............._.......19_.._.... <br /> TO T1IE SOPERIN�I'�NDENT OF THE WATGR DEPARTMENT: <br /> CITY OF EVERETT: <br /> I hereby apply for the use of water m accordance with the rules a�id :egu- '� <br /> l�tions of the Water Drpartment, for pm�poses and fisWres stated Uelow. : <br /> During the time that any �f lhc water mains may te taken up by reason � <br /> of any improvemmis authorized by thc City of Everelt, in or of nny strect or <br /> alley in which they m�y have bcen laid, thc City will not bc rec uired to Lurnish <br /> water during the progress of such improvements to any consumer whose sup- <br /> ply may thus be cut off, ar be liable for any damages for its failure so to do. � <br /> APPlication No..../!:'...1�...�i.�../......... / <br /> Block..._....................^......... Lot............._........_.............. Add..(:.��'=`t..::.:. ... .�..::... <br /> ,��..........�.0....�...�......�._�.�..............� .... ... ......... I <br /> v / / .. ._^ ...I '.... � SlicetP4�mbcr, <br /> % ._..-...-.............. _.�...�.�� ...�!�-.�.?.::�� 2t...G.l. i <br /> / The work to be execuled by.._........._(......_.................._........ , , I <br /> S.ate size of tap. <br /> ,;"-�',.t�.....Tap lo be inserted in the maia�� 1; _� ��, . <br /> .: �Vatcr daset � � � , , ' � ; J <br /> �....��1... `; '. ___-- � <br /> ...�...Bath rl.;i —���� . <br /> ._...._.......Urinal I <br /> Plain faucet inside C"� -Vef�tf � � -- <br /> ..___..._Side waik washer VJF��T�R DEPT. A <br /> ._._� .....Hose bib outsidc ,,,/// // "'�. I <br /> ...._...Hose bib for Uuilding purPoses �-�/.^ ^_,_.� ' � ,. ' . . . . <br /> �� <br /> ..._...........Hose bib inside � <br /> ...._ __._..BiU for stable containing................_.stnll__......_... _. I, <br /> .....J _.....Numbcr of persons in family� i <br /> .�� _...Numbcr of rooms in buil3in;: I <br /> Thc prcmises are to be used as a....___. . . _ . . . .... _ _... . ._. ._ . ._. �. <br /> Thc owncr of the Premisrs �s......__ ... ......_ .......... ._. __.....__... .._.. . . . � <br /> T;ie agent is....................................__..............__...._..._........_.............-.........___.._..... � <br /> 1'hi; applic�tion, although signed, shall not be binding upon the City, until , <br /> accentud by the Saperintendont of the t5'ater llepartment. <br /> .. /-� .�! / �-. ,���� ` <br /> Si:le .... ..... _:L.'�`.:"_:�:�.....:..:..+.'y-................._...........Applicant � <br /> �ir /,,, l,� ._ „ <br /> , �: / • ,, <br /> �-,��,;>:�,, _ _ _ _ to.. _. ��� _. _ _ .. _ _ . ....._._.._... <br /> _.._ <br /> �upc��n�miJen�. �� <br /> 1 <br /> 1 <br /> � <br /> � <br /> J <br />