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YN]/= . <br />W. D. Fo�m � isoo a-i-i� c. e. �% <br />CITY OF E�'EkETT==Water Department <br />Application for Water <br />.qtl blanks musl bc filled in or crosscd �ml <br />r,•�����._--- - - ----- y��9 - - i�� 9.:_. <br />TU THN SI1PIiRINTFNDIiN9" OF THE WATER DfPARTA7tiNT, <br />CI7'Y OP E`1ERE7'T: <br />1 here6y aprlY (or 1he use n( water in acrnrdance aith the rule� and requla� <br />ii.�n; uf The Water llepartment, (or purpnses and fintures slated belo�•:. <br />Durin� Ihc timc ihat any u( thc wa��•r mains may br taken up by rcason of <br />anp impmvemen's authnrized by the Cirv ��f F.verelt. in nr uf any strcrt ar alley in <br />which thry may hnrr becn laid, thr City will not bc rcyuirrd tn lurnish watcr during <br />ihe progrres of such improvemenis [o any consumrr u�hnce supph� may thur br cut <br />�d(. nr be li�blr fnr �m� dapm�a-R7^y fnr its (nilure so to Ao. <br />Applicnt4nn Nn..__�_/../ ��..__...._ <br />�si����: Sb '"1 - ._ [.���— 3 - ,-.-.—...naa . -- — <br />No._.._�.S.JD. 5._�:�_____. .Sirert <br />. <br />' � :_,-"-'_'...._ <br />..___'__'_ _..__" _...__ ._ ._.._._.__ _ ____. _"__ <br />"f hr work lo be execuled by .. . _ - _ _ _ _' _ _ _ _ _ _ ' _- <br />Staie sizc � f tap. � <br />-�Z.....Tap tn be inscrted in Ihe main. � <br />. � _ _ _ _ . Watcr doset <br />--- %--. _ n,in ` <br />"_ .. _ _Urinal \ <br />�..: Dt.•e.6. <br />� � �"`+1 . <br />ii 1 1 <br />� ��r� <br />F' <br />( � ' �—. <br />:. c�-- �" <br />..Plain faucetinside �a <br />_._�_. // �v"' ..,� 12-`� <br />.___Sidc walk washcr / <br />... -__._1lnsebiboutside g � j <br />.. _.._. _. Ilosc bib fnr builJing Purpuses �„ � <br />.. .. _. "_'Hnse biL incidc <br />._""."_l3ibfnrslablemntaininq.__.-_-_.._.slall._ _.__. <br />.. _....__.Numbcr of persons in family <br />_. _e�t,__Nwnb_r n( rnoms in building <br />'PhePremises�etobcusedasa_.__-_.___.__-__._._.-_..-..._... __.. <br />l�heowneru(thepremisrsis ______...____._.-' -.-_.._.___. _.__._._'_ <br />TheaRent is ..-..._ _.... ...._...__'__ '. . __ __._. _'_'__..__. ______ <br />This application. allhouFh signed. shall nol bc AindinK i�P���� lhc City. until ac� <br />��epted by The Superin�endrnt o( lhc Wn�er Deparlm��m. <br />Signed _-.. _ _ . }-. _. .��j -Applicant <br />_____ <br />f � <br />Accrpted�..`�___. _14 Hy._ ..._.__"'_'_"___ <br />\_ ' '.,ii�nren'..� <br />