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W. ^. Form a 15GJ J-0-17 C. P. <br />�1TV OF CVCRETT==Water Department <br />Application for Water <br />All blanks mus[ bc filled in or crossed .�ut <br />� 2- ,Z- _._._-191�- <br />Everet4--------"---'--"-- -'--�- - <br />7'O 7'HE SUPERINTLNDENT OP TI1E �VATER DLPARTA1EN1', <br />CII'Y Ol' E`IGRETT: <br />1 hcreby apply for the usc nt watcr in accordancc witU lhc rules and reg��T- <br />tions of Thr Water D.'P�rtmxnt, for purpnsr�; am� fixtures statc� bclow. <br />Curinq thc t��nc Ihal ���y ��f thc wai,r m:�ins may be taken up by reawn oi <br />�nY imProvemrn[s authorized bp the Cily o( Eeeret[. in or n( any street or a11eY in <br />which they may have been laid, the l'ity �'ill no[ be rcquired lo fu� nim w;hus be�cut <br />thc progress �d sud� imProv^menls to any consumrr wh�+sr eupp Y Y <br />nf(, or be liable fnr any damaqes for il.+• failure so to do. <br />Application f1u.___�/.--I� 1---'----- <br />i/ � <br />i:lock S Io-G_'-'- -----Lot�-.�y J�__1=�:'1'----'Add--'-".---'-'---'--•- <br />No._.__�53•2-. �."- "_.Street <br />� .•_ -----� <br />- ' —'— <br />-- ' ---'---------...--------'----------'._---' <br />.. _._-'--"-"----.."-'-- Plumber <br />'fhe wnrk �o be ex_cuted by______________ _ <br />S�nI/lc siu of tap. <br />_ J�y__Tap t� be inseded in the main. <br />� o� <br />___�_ Waterclosel �i . s <br />-'---�--- Bath '/i / I <br />""__ .Urinal '..: ,,,.': 4•`. <br />.__Plainfauretinside �•�"--"� (i � ^ <br />-_ ': � � � <br />_._Side x'alk washcr /� ' � , <br />-""-- '✓ i �%1 L.1 i � � � � � � �� � . <br />""'_"._Hosebiboutside =( 'f'���.,!.�✓ ' <br />"""'__'HoseUibfnrbuildingPurposes lvulfr '�� ���.�(I <br />__"_____{(uscUibinsiJe \ ` : <br />' _8ibforstablecontaininR.___"-'--.-stll _; Y� . --' <br />____'._ �1+-- <br />-___-/___'Numbcro(pereunsinfami�y `��`t r � <br />_.__.b,__NumUer nf ranms in building ��--�'" <br />ThePremisesareto6evsedasa.__--'----"-'-"'-""""'-""" "-•" � <br />Thc nwner u� the Premisea is '_'-"-----'---.. -------"-"'—""""'—"' <br />ThcaRent is.._----'-'-----'-'----'-- '-----."-_'_-"—'—'--'--'- <br />This applicalion, although siqned, shail nol Ue bindinq upnn Lhe Ci�y, until ac- <br />cepted by The Superimenden[ ot t c Weler Depa,r irnt. <br />SiHned----��'����� /l�".1�FI-i 1'.--'-------APPlicant <br />/it[ePteclr_ _.��'7--1� $y 1�?�"" Sueenntendent /. <br />. / <br />� - , // / -. � . <br />