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`��� 4 <br /> v� <br /> /_n • ✓ .' •" ' ' G� /c�-2-23 -j3-' ' .. <br /> /• �,�s <br /> . . i -� <br /> 9J. D. Forh 4 ISLO J-1-17 C.P. ' . �� k�, <br /> CITY OF CVERETT==Water Department ,�� u <br /> �`"a�� ;' <br /> Application for Water - r r��� ; <br /> All hlanks must Uc fillid in ur cros�cd n`1t^ ' , ,�,' <br /> x y. <br /> � y _a� <br /> F.vcrett. - ` �� " 191y�_ '' <br /> tj <br /> ' _" "'"" " ""_ ' " ` . , aC��v e? <br /> TO THE SUPIiRINTFNUliN7'OP TNE\V TER llBPAHTMENT. „�§, <br /> CITY OF FYHRETT: �'�`�� <br /> Y.y <br /> I hereb � �W (or the use o(water in ntcordance�cith the rules and regula� . ����' <br /> Y•PI e �t`a�'' i: <br /> tio�;n( The R'atec Uznartment, for pnrposes and fiztures statcd Uelow. . {i; <br /> DurinF the time i;iat any nf thc water mains m�y be taken up by rcason o( i; a r <br /> anr imamvemenis aulhotizcd hy the Cin���:Evcreti,in or of any strcet ur alley in - ,'!. , <br /> �.vSich thev m�R have beea laid, the City a�ill nut be requircd to lurnish�rater durinR � , .,-« ;"� <br /> the prngress nf such imprm�ements[o any consumer whnse supply ma9 thus be cut . � :,� �� <br /> utf, nr be liable for nny dama es(or its failure so�o do. � ...:`rv�` Y. <br /> r����d '_.__""""""' yn + '� <br /> Applirntiun Na." ' ' ' ' ' ' """ "'___'__'_'_ ���_ � . <br /> Blnck . . J �' � �J�����- � Add , .'.r � a�i` � <br /> No.. � � � � �"'t!-(-�(/-'�j ' Strect �. <br /> .-e5 / "'." ' � , <br /> ' ___ . __ " ' ' ' "_"' ' ' r . <br /> 7'he work to be executed 6)'.__'. " "' ' ' ' ' --'--' Plumbei � „ :� - <br /> i ��'; <br /> Sta�e c e uf top. l/�o � .F' . � F '� �. <br /> `���Cap tn be inscrled in the main. � ����-�� �'� �p '. <br /> S � �k`Y^ <br /> -,_'._1Vatcr daset -7 r .� • l. �f +�t{. ,' <br /> / <br /> "^ <br /> __'__�_-ISalh , %.. �?�is . il <br /> ' _Urinal � - ' �' � � <br /> , "_/ . ) �. . - Y .�` <br /> Pl�in l�ucet insidc , `�' � ` ° r+i <br /> � e� `Iy <br /> � '----_Side a�alk washcr ,.:�„1�. . � .. . .' r . ... _ F' <br /> '_ :.Hase bi6 ou�sidc � � � <br /> ,i <br /> __`-:-__.HosebibfnrbuildinKpu�Pnvcs .' .�y� <br /> __--_..iinse bib insidc '�.�} '.. <br /> '__ � <br /> "liib(orsinblewntaining-____'-'--stall_"_'_' ' � .. ' <br /> "'`-Numbrr o(ryersuns in family � . <br /> _/'_ <br /> C� Number of rooms in bwlding <br /> __.'_' <br /> �hc ptemises are lo be uscd as a �- - '" - � ' � � <br /> _ <br /> ' .._. __ . ' "'... .� ,,,a <br /> �C_•. � q, `/ �x <br /> "Che, owner of the prcmises is ._ __- .--- / ---'- """ '.. . �' <br /> � .� <br /> —� zr' <br /> TheaRentis ..___. . __. ._-___' _ ._ _'. _""..__ "_""_' + ;� <br /> This appiicatinn,although signcd, shall not bc binding upm� the Ciry, until ac• 'r <br /> - � . :�`.."`"i�:�•, , <br /> ,,tedhy'PheSuperin�endentn 't� t:nent . �...:P'..:�..� � -.j <br /> Sipned.'�__r- -.- _._._____ _ ..�`_--�Applicant <br /> / ,/ <br /> AcccPted.._'.__.__."""_"191 liy_ . _ y}� � , " ' <br /> . . I'✓ w,erlmm�denl . <br /> , <br /> � <br /> � � � <br />