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<br /> City of Evei�ett�Water Depai•tment �,.
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<br /> APPLICATION FOF; �'�TER � . � �� "�`���� � �� ���
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<br /> All blar,ls must be filled in or crossed out � t`'�
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<br /> GvtrMt........... ��f!............ ... .................192�. ' � . � ;�4Fy�f��' �. � � ±.
<br /> I'O TIIF. SUI'ERINTEri`DENT OF TiIP, \PATF.R nF.PART:1ilitiT: ' r �f ��'�+' '`
<br /> CITY Or liVliI:I:T'i': ' �.- � "�'"` - -"+� �
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<br /> I hereby nPply fo: the use oi a'aler m accr.rdnnce�cith tlie rulo� nnd regu- � �� � � 1
<br /> latians of the \i'atcr Department, for pmpu=es ind ti�tmes stated Udon•. ' "i� ` � ;.`il .,',
<br /> Dming Uic time that uny ot the wcter n�,uins may Le taken uP bY reason i.� ,�{.:���' .;
<br /> of ang uuvrovements authorized Uy the City of Ec�rett, in or of nny strect or ' � .s-�
<br /> nllry in �chirh they may hnce been laid, the City will not Ue required to furnisL .�+,� ����,
<br /> waler du-in�, the progress ot such improceme.rts to nny consumer whose supply ,.; �� }�
<br /> ma�• Lhua be cut off, orr/bc liablc for any damnges for ita failure so to do. . v 1ai a, +�4 � �. �
<br /> Applicat.�on No ..d �✓ a � .. .. .�:� r :�, 5a�'�i, � s'�
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<br /> IIlock....... .. ._/`b..����j L-o/t ,..�.. ...Y� .. ...... Add._. ..... . _.........:.:. .. .. � � -��_ . . �:.�� : .,�...�:- .. ....�.
<br /> No. �j.�� "d_. _ P J.C�1.L�t����... ...Stmet
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<br /> .......... . ......... .. . ...... �C.... _` .... .../y.... . ... .......
<br /> The �cork to be executed by...../.��--� � .......Plumber
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<br /> Stato size of tiap. �)�'�' - �� �(,(1` r� /
<br /> ..�2.....Tap to bc inscrted in th✓main. �� �� f �-
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<br /> ..._�........�1'ater doset ,. .�=� "
<br /> ..._�.........Bath �`-�.��.���.
<br /> ....._`.....Urinnl .
<br /> ....Z...._Plain faucet inside . .
<br /> � ........-.....Sidc a�nik �veshcr -/ . .
<br /> .... .1......lioec bib nulsidc `
<br /> ..._.... ...Iiose biU for buitding purpoaea
<br /> ....... .....liose bib inside
<br /> ....._-.....Bib for stablc contnining....................alall....................
<br /> �-.....A'umber of pereons in fnmily
<br /> ...J......
<br /> ..C.P..._.....Number of rooma in building ,f�� � �
<br /> The premises nre to be used na e.._.. ... U 1ic/J-�.�..._ , C'�—
<br /> !_ ... /�........ �
<br /> The oumer of lhe preciisee i�ar::...... �.r.e..,:LIjC�_.-.,::�.�.�t.�`i�,LrYt`
<br /> TheaqenL is............_.._._.............................................................................................._.
<br /> This ¢pplication, elthonqh signed, :;hell not be Linding upon th City, until
<br /> accepled by lhe Superinte,[ulwk ot 66e Nn rJ�y�pnrtmrnt. _�
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<br /> Sign .....�litiC..._...................Applicnnt
<br /> eJ .......r..�.......................... .. .� ........
<br /> ' /,' � ` ,, `�:::........................._................
<br /> Acce t�d...... .. .:..:..� .............194.:.:. B �°�'�: Superintendent� .
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