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�- <br />W. o �o,m � , �� , :� � <br />CITY OF EVERETT-WATER DEPARTMENT <br />APPLICAT'ION FOR WATER <br />All binnks musl bc tilled in ar craxsc<I uW <br />Eccrelt�_.._. . . . . — ..Y i9 � <br />7'O TIiF, SUP}:RiNTF.NDENT OF TI�IF. W.4TF:R DEPARTMENT: <br />CITY OF EVERETT: <br />I hereby npply for Ihe use u( wntcr in nccurdnnce with the rules and regu- <br />lations nf '.hc Wnicr Department, for pw�pnses �ind [ixWres staled beb • <br />Uurir�g the :ime thnt ony ot the wnter mnins mny be taken up by rensnn <br />nf nny improvementc nuthnriirJ Ly thc City ot Everelt, in or o( nny strcet or <br />nilry in which thcy mny h:ivo becn Inid, the City will not be rrquired to furnish <br />�aatcr durinti �hc prngress uf such imprnvetn^nts ta nny rnnsumcr �ahnse sup- <br />plg may thus be cut o[[, ar bc liable fur nny dnmages for its fnllure sa to da. <br />Applicntic.i No... _.C�I. j..�l...._ _ . <br />flloek .... . .. ........._... _ Lnl _ . . ...� ... _ __. Add. .`.: r. ...`.. _. . .. <br />No ......._ ��:�:......... %./ z� . . .......... ...............__...6lreel <br />... .... _ ........ . .............. ._................. ._....... ._ ........... ..._......___._. <br />'Chc work to bc execu�ed by. ...._.. .. Plum6cr <br />State sizc n( �np. <br />,/�..T�ip lo Lc insrrtcd in lhc i,iain <br />.....Wnlrr i9nset <br />. . . <br />.. �. . c.�...13nth . . <br />, <br />...Urinnl ' u %� ; f <br />i . <br />. ... _.Flnin fauret inside � " <br />. ...Sidc a�nik w, shcr � <br />`oV <br />_.. _Hos�• bib oulsidc ... �" i)' � � <br />� <br />.._Hosc bib for 6uilding pw�po�es . � <br />_ ..Ilor�c bib inside <br />. ._I3ib fnr slnblc containing.. ._.__. .... sta❑ . . _ . <br />..Numbcr n[ pereons in fnmily <br />.' . Numbcr nf rooms In Uuilding <br />'I'h�• premisea urr tn be used as .. ... <br />'Pho ntvncr of lhc pretniscs Is <br />Tlu• n�ent is._... _ . . _.. ..... . . . . . . . . <br />'I'hi. npplicnlinn. ui:hnu{�h sipnrd. ehnll not bc bindinF ��P�n the Cit>', unlil <br />nc��cpte�i by thc Superuito��dc lat thc �'eter Drpn�'tmcnt. � <br />� l � � <br />SignedJJ�C�,'�AL'i.'';,:�1_/,.��...i't'-I.'. ,Y..�i..L17w�Applicnnt <br />p�.r��pii•il lt�.. ,rip <br />� tinPrrinlrndvnt. <br />