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; �,ir <br />W. 0. fam 4 <br />CITY OF EVERETT-WATER DEPARTMENT <br />APPLICATION FOR WATER <br />A❑ binnks must bc lilleJ in or crossed out <br />Everctl�.. _. . . .. . .; - l . �._. . . 10 �' i: <br />TO THE SUPERINTENDENT OF TIIF. R'ATF.R DF.PART�fENT: <br />CITY OF EVF.RETT: <br />I hcreby np7ily for thc usr of wnter in nrrurdnncc with thr rulca and regu- <br />Intinns nf the Wntcr Depnrlm��nt, (or pw�poses nnd fixtures staled Lclnw. <br />During thc �Imc thot nny nf thc wntrr mniuc mny bc taken up by rcason <br />u( nny impruvements authorized by the City of Ev �rctl, in or o( +vy r.trent or <br />nlley in wliic•h they mny hnvc bcrn Inid, lhc Cily wiil nol bc icquind to furnish <br />waler du�in�; lhc pm�ress ot such improvements to any consumer whose sup- <br />ply may lhus be cut of(, ar bu linble (or nny domnges fur ile Inilw�c so tn do. <br />Application No.. . (...0 ... � �� ... . , /C. , � .. - <br />... ......... �. ;,�� '... <br />F31ock. .. . _.I.ot �'� ........AdV�'.:.c �� ��.� �. <br />No .0 � .'� ._ " .�/ ��L.Ic. ,JF'�• _ 3lrecl <br />__..........__ ....._.._ _ _ __ .................... _.__ _ _ <br />The work lo be executed by.. .....__.. .... .. Plumbrr <br />�Stntc sizc n[ lnp. <br />�r.___.Tnp to he inscrled in (he main ,� <br />...R nicr closcl � P '. ` � " <br />' i �. b <br />...�__. +1 �y i �, <br />._..5........Bath i% 'i� �� �1 ,� Svds <br />. _... ...J.��rinn! ��AK'J C,'• �f.J <br />.._......__..Plnln tnucel ins�dc =� ` ` <br />._..__.......Side aulk wushcr �.,.. , . �, � .,.-x.,� ��. , � <br />�. <br />..._.._. _Hose bib oulside : �4� l <br />. ._....._Hosc bib for builAing Purposes � � . /5� / <br />._. ...... I�nsc bib Inside <br />. ......Blh [ar stnblc contnining_._ .............el�ll ... _ � .' <br />..Nwnbcr nf persnns in tnmily 7� �" /;l.it-•(��i <br />�i�� �'.i<<. � <br />S.�.numUcr ot rooms In building � y�,� _j (� (��f�fs�. <br />Th�� premises nre ta br used as n... . <br />7'hr nwnrr ot lhc prcmisos is . .. .�. t ��.�.a[ (�. �!^" <br />Thc nGenl is... _...... . _ ... . . ..._. . . <br />This nppliraiion, nllhnuph sitined, shnll nul bo Uinding uppn h¢ Cily, until <br />necepled by the Supyerinlrnden f�ihe R'aler Dey�vtmenl. / <br />Sit�m�V �� % 6 l '� � <br />r �-���. I �C .'� �%`!'" r ....ApPliennt <br />A,�rrp:rG 1!!. Ry' . <br />tiuperinlrndrnt. <br />