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�"'--� /, 2_— / G _ �. , � j . <br />— �=.�a�7; z- _ ; �> <br />t�'. D. Fc�m 4 IS00 J-I-17 C. P. - <br />CITY OF E1'ERETT==Water Department <br />Application for Water <br />All 6lanks must be filled in ur crnssed o <br />L•'rc:ett,_.�/ <br />____ __'_ __' ___� _". ___19�__ <br />7'O 7'HE SUPGRINT'L•NDIiN7' OR 7'�{� �yqTGR DEPAR'f11ENT, <br />l'IT}• pp H71iNE7'T: <br />1 hereby app�y (or the use of water in acrordance with the tvles and regula• <br />���'.is id The R'ater D,p,vlm�ent. for purpose; and fix(ures slated bclow, <br />UurinG t6e time ihat anv oi Ihr �vatcr mains may br laken up by reason of <br />.���y iur:.uvements authnrived bv tlte City of livcrrtt, in ar o! any strcct ar alley in <br />�vhich Ihc>' maV have been laid.�flic City �eill not bc requircd to (umish w;ter during <br />�he progress of such improvements t�� any consumer �chose su��t, m:,y ;'�.�us be cut <br />n(f, ar b^ Iiabic (or any da�r.r/ges for i[� (ailure sa �o do. <br />Ap�dirnlinn Nn.._ ,_!T �"� _' <br />Rlucl: .��� ALuL-' ' ' <br />/G� - '._- . Add._____.. <br />__. .___ <br />1.t.___. _ .__'XxJ �--'------- <br />"—' '—"'""'_Street <br />The xrork to 1>� rxccutrd 1�}�.___'_.'______' -�-'.___��-'�-'-'_---'-_.__.,__. <br />---------�---_..__ Plumber <br />Statc izr uf tap. <br />i <br />--�=-TaP to be inserted in the main. p p <br />"—"_'_Naicrcloset /�� - <br />"-"-.. _ _ Bath <br />-"'—_ .Urinal <br />"-'-__.Plain fauret insidc � ��.��,w <br />� <br />--'----'__SiAcwalkwasher .,^`\,�` �.�... <br />--"'-' _Hosc bi6 uulsidc <br />.."'---__IfuscUib(orbuildin • } <br />!S Pu�p��xs � <br />----' __"Ilose bib inside `' � � � . � <br />� �� a� :� . <br />[iibforstabiecantaining.__'_____`lall._..�.._ (/ `� "`�'.. <br />-' - ___'Nmnbcrolpersunsinfamily .-`-`� , <br />---'--__'Nwnber of rnoms in huilding L�� � <br />'1'he picmisr� nic to be u�ed ax a'.__.._-._'__' � . <br />.'.'.'..'____'__-_-_' <br />The nwncr of lhe prentises is """"' " "".. <br />The a, __.... __ _ _'__. _____"___"'_____ <br />�,cm is . -'-,----- <br />7'Lis appli;xiiou. �Ithou � ned. shail nol bc bi i n� upnn t6c CitX until .�o <br />a�pted by Thc Superinlr � n the �'i�ler Uepa i•nt. <br />Signcrt =.'- ��- _ <br />_' _ <br />" '"�- --� Applicant <br />i ________ <br />Acccpted__��•.-�,j-'__�Q{/ d�/ 3-. <br />" i _� �. �. surenmen:lrnt-'- /. <br />