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<br /> R'.D. Fcnn � ISGO J-1-17 C.P. �.
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<br />� ' �t�i�. CITY OF CVERE'f'Ta=Water Department �
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<br /> _:��`°--;� Applicatian for �,�Vater I
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<br /> � � ' J ' : ,. - � � AII blanks must bz filled in nr crossed n
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<br /> � . -- E��rmt�, .'—/ _ '. • ' '�" ' _____.197 -�-
<br /> TO THE SUPIihINTENUIiti 1 OI'9'I WATF.R UEPARTb1ENT,
<br /> �y ..- � �I11' �F I:VERETT:
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<br /> g I hereby applY !ur the use ol xater m accord�nce with the rules and regula�
<br /> � �_�i I..'•�"� �� � . , tinns o(Thc\Vatcr Ueparim•nt, for purpnscs end lxtw�cy stated belnw.
<br /> � i� � Durinp the time thal any of Ihe watcr mams may be taken up by reasun of
<br /> cy � �.r , . :my improremenlc xuthorized bq Ihr Citv of Everrt4 in ur of any strert nr allry ir.
<br /> .. which they ma1' �����'�been la�d, lhe City will nut be requircd lu furnish watcr during
<br /> I ' � _ �he prntiiess of euch improvements In an}•cunsumer whose sopply may ihus be c.i�
<br /> �� �e�. � ni(. nr bc liable fnr any damaK�e fur its failure so tn do.
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<br /> '+ '� . � � - + APplicxtinn t�a. .
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<br /> ,� ��;� �,.�����- . _. ,I'he woJ: in�rxecutcd by . ._.-__' . ._ . . __--_- -__' Plumber
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<br />� �� ' - - Statc ize nf lap.
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<br /> � � '�P' - - �.�?__Tap lo be inserted in the main. � [[//����//
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<br /> �', 4 . .-�1; �_._15'a�rrdoset �
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<br /> �� � . _ .Urinal _..- - .
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<br /> � , " . _ ., - " .__Plain faucet insidc � 7��;+':-i�,.
<br /> � �� . _SiAe�calk aasher :'/:J si ' !� n�?�
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<br /> I I � Y��'�` ' � __._I+ose bib uutside .
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<br /> . ...Hose bib (or buildiug purpnms � , �
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<br /> '�: ,. � � Hosc bib inside ry�a � r �
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<br />',� , �,a* , _'__'___13ibtoretaUlecontaininR____-___ �+tal ����` 14�,Q
<br /> � , � _Nmnbcr ut persuns in family \`.`�''� �
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<br /> . , . . _ _Number nf rnmms in building �
<br /> �� � - The premises are tn be used as x_-__ ._
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<br /> ; . .� 7'hcnwnern(thePremisesis .____'._ -_.__. .. _...._ _._'____"_____""
<br />�'� p ,'._�.1 � . _ . ' . Thcagnriis .__'._-_..-. ___'.'________ '_--_'_.__._._"'_'.__._________
<br /> � ,�k`G''''LL.,����� . '1'his applicelion, although aigncd.sh�il not be binding upun the CitY, until ao
<br /> �' M - cepLL�d by TheSuperimenAent n e��Veter Diparthic ,//"�J
<br /> �f ir � ' Signed __.__-���""'"�-�� --f- -----�""Al+�licant
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