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1 <br /> � <br /> � <br /> i <br /> ��,�q „ _ : , � ,r .. r � � .� <br /> �...�--'-c �y ,. ... _. I <br /> w.n.ta��-ir,o:_Er.co.-c zuza ._ _ , ��`'L`L ' <br /> � City of Evei�ett---Water Depai�tment ; <br /> APPLICATION FOR WA1'ER � <br /> All 6lanks inuat fie filled in or crossed out ' <br /> /// � <br /> 1:verclt................�---..................../..,3.........................��.9. <br /> TO THE SUI'ERINT�A'DENT OR TI3F. \i'ATF.R DGPART111ENT: <br /> CITY OF EVEl2liTT: I <br /> I hereLy apply- tor the use of aater in nccorJnnce«•ith lhe rules and rrgu- <br /> Inticns of the R'aler Department, tor pm�poecs and fixtures stated bclow. i <br /> Duri::;; the time Lhnt nny� of the cvaler mnins may be tnken up by rcason <br /> of any improvements authorizcJ by thc Cily of 6cerett, in or of any atreet or <br /> alley in which lhey may hnve 6ecn lnid, the City will not be required to furniah <br /> . u�nter during lhe progresx of nuch 'rinrocements to ¢ny consumer whose supply � <br /> roay tlius Ue cut otf, or be liable for nny damages for its fnilure so to do. I <br /> Applic/ation No....�..��.../-........... . <br /> IIlnck........A�..�..�T.................... Tmt....�b...:'.1..�..._........._.. Add..................... <br /> /+' � _..........._....... <br /> No........_...i�.L.�..v..�.......���.............Street <br /> ...._......_..............._..................................................._......................_... ........._..._.............._..... <br /> The «•ork lo bc execule� bY........_..._..._._.................................................Pluml�er <br /> State aizc ot tnp. «O <br /> � � . <br /> ..��..-..�........Tnp to be inserted in the mai� �� a�� C 11�`lfr. <br /> ................R'ntcr closet <br /> ................IIath -ru p �. �q^.�, <br /> .N' 3� . <br /> .._...._.....Urinnl 6v��'�� ��.2 n <br /> ................Plnin faucet inside � ��1 <br /> .._............Side �cnik �r�ashcr _ � ���e. �'O��� <br /> ��-- p <br /> ........._.....Hose bib ovl.aide y /�0. r , <br /> r7 <br /> ................Iiosc bib for building purpoaes , y <br /> ..............Iiaso Lib inside � �r���/ <br /> ...............RiL for etable containing....................atall..................f <br /> ................Number of peraons in tnmtly <br /> .............:..Plumber of rooms in Luilding <br /> Tha premises are to be veed as e....._._ _............ ..._ . <br /> �............. ........... <br /> . ..... •-............ . <br /> The owner of the premisea is.�.�..Gtci.,� _,_._.__Sl^ - <br /> ............................................. <br /> Thengent ie...................................................................................................................... <br /> Thie npplication, nithouqh eigned, uhall not be 6inding vpon lhe City, until <br /> �ed by the Superintendcnt of ihe Nnter Depnrtment. <br /> Signed..........................................Y....................................................Applicnnt <br /> .t ed......................................192...... II ...................................................................... <br /> � Superintendent / <br />