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_-" .. . . . , Pi' <br />W. D. Fmm i I500 J-1-17 L. P. <br />C1TY OF EVERCTT==�Vater Department <br />Application for Water <br />� All blanka must be filled in ar crossed oct <br />Heeret4.___.______.._�'�_�'�' ____"__191�_ <br />TO THE SUPI>RINTGNDIiN7' OP THE NATER 1?CPARTMENT, <br />li7'Y OF GYFRti7'T: <br />i <br />1 hereby apply fur the �se o( water in accurdance wilh the rules and regu a- <br />� ' tioes uf Thc Water Ueparun:nq (nr Purpos-cs and fixtw�es stated below. <br />DurinR �hc time lhat a�iy of lhe rater mains may be laken up by rcaum of <br />-� � any imprnvements authorized by the Cily u( liccre.t4 in cr of any slreet ��r alley in <br />which they may have been i:aid, the City u�iil nnt be required to lumish water durmQ <br />die pmKress of such improvemenls to any' a�nsumer x'hnse suppl)' may ihus be cut <br />oH, u� bc liablc (nr anY d m:�gesf ur rt� f:ulurt so lo Jo. <br />/� � <br />Applirntion No._��-"./--�--'-- p <br />131uck._��-�' _/_-� Lot___ "__c.!-"'__"Add____.___'___'__" <br />:io.-'---'�-5-�''JC-.U�-"__"'__""- Strcet <br />_'__'."_'__..__"' . "__._"'___._______ ___'____ <br />_'___" "_""""'_'_'.. <br />'fhe work to be execu�rd UY--------'--- ------'---""""-' Plumbe[ <br />State sizc o( tap. <br />__ ���_Tap to be inserteA in lhc main. <br />_'_["___Watcrdoset ' . . <br />,.�'.r�;�"` <br />"�"___.Uath ,•.��W..��.�'�. <br />� ��n; . <br />� . ---'- Urinal ! t. . , l,, P\�\ � <br />Plain taucct insidc '�t� �1 , �� <br />�). � � 1 S <br />_.SiJe a'alk o�ashcr <br />._,.,.::.��.. .i - � .i <br />� , ""'-----Hosebi6uutside 1 .. <br />_--Huse bib for building purposes � � <br />Hese bib inside t�E�- '��y' � <br />_U�b for stable containinq.'-'_-"--etail_ � � � <br />_ ""_"NmnLerotVersonsinfamily \��. ��,y:'� <br />_ _ �. _ _ _ _ _Nwnbcr of rooms in building <br />Thc premises are to be uscd as a'_'_ __"---"""'—' .--"-'-'—'—" """ <br />7'he nwner uf the premises is __"" ___. _' ___""""""""""""""""_ <br />Thea8ent is _-'_-'_' _"'_.'---"'--- '---- ---`__`---'-----------'-- <br />_--. <br />`I wn, al[hough sigr.ed, shall not bc binding upon the City, unlil ae <br />ccptcd by'fhe Superintendent o/ thc 1Vntcr Departmcnt. <br />Signed __��.L3�-�i_1.�� \i�5.�,p-�q,l-------APPlican[ <br />---•-.... c. e. <br />Accepted,�`_..�- L93�i✓ I3y.,,,�[,�_"_'____'_"'____'_' / <br />�/�� Sunerinlendem <br />�..-r;.�.�0 , Y-''„''"� — c � <br />