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, <br /> �_, .. � , . , . <br /> - • - �i.i �—� G_ � ;- -; ,c, <br /> k'. D. Form ! I SJO J-6I T C.P. �i <br /> CITY OF Ir;VERETT==Water De�partment <br /> Application for Water <br /> All binnks musl bc filled in or crnssed out � <br /> —-- 6 <br /> � <br /> Everell.__'_-_____'__"_' ' <br /> '���---'----� --�-- . <br /> TO THE SUPERINTENDEVT OF THE Wq7 ER pIiPAR1'MIfN7', <br /> � � CITy pr Ii`/EP.ETT: <br /> 1 hereby apply for the use of w•ater in accordance x�iU� the rules and requla• <br /> liuns uf The Water Ucpartm�nt, fur purposrs ;md fixhu�es stated bclow. <br /> Uuring the time lhal any u(the water mains mae be taken up by renson ot <br /> any improvements authorized br the City uf Iivcre�t,in or o( any sVcet ur allcy in <br /> which :hry may havr been laid, thc City ��•ill not hc nr�uired �n (urnish water durinF <br /> the progress o(sueh improventen[s tn any consumer xhose supph• may thus be cut <br /> �df,or be liable for ane Jamagcs fnr ils L•iilure so In do. <br /> APPlicntion Nn..�J_��� <br /> '______' <br /> I31ocA _C�._C�.�>__ _ __I.ol�� ' /9-Zp. <br /> � '_____'____ Add_____._ <br /> -' -------- <br /> No.---'-''c'-^-.,2 <br /> .�--- '-'• Strect <br /> -'-.. <br /> -- -- � — �-� ! '2,� <br /> ,-� ------- - ----- <br /> -- •�-- ------------------ <br /> ------- <br /> � 'fhe work to be exccnted by .. __-77 . <br /> ���---------- Ylumber <br /> Stalc sizc ot tap. . <br /> � r <br /> ��'-'.Tap to be inscrted in Ihe main. 3� 'r � �i`. <br /> _-'____\Va�crNoset � ''/' � �E �4'��•. <br /> �� <br /> � ��` <br /> ' '___l3ath � �� `' ' <br /> � r! � /��� '� 1,.i}� <br /> - --- -Urinal . r 1�lt1�i���� �� �� <br /> c� ' -__Plain fauccl insiJc r� ' ,,'- , � 1 <br /> i L. � i <br /> �� ' ' "'__.Sidc walk washer �: �, '� <br /> °r��� __.. ...Hosc bib outside . �',� ���„ j�'1 ' .�f <br /> .•h... .'��--""-'._Hose bib for buildin ,�� ,,.\p -� �•.• 1 , ,. <br /> . R PIIr�l05efi �. "�R ` . .. . �.: <br /> -'---Hose 6i6 ins:dc - ��•+ ,+. / � <br /> .. - .( <br /> 1 � '_-'_Bib(orstnblecontaining..__'___. .stalL_- , ; <br /> t ___. <br /> '� "------_Numbero!persons in L•miily <br /> v,` <br /> V <br /> ---. '_'__'Numbernf rooms in building <br /> � Th� prcinises arc[o bc used as a__„ _�iC�-�L�:L_`-un <br /> . ..=r•_. . ...'-7 _"' <br /> ' .,��.� fhcowncrofthepnmisesis ___"'___ ' C �"-i---" ' <br /> __'_ <br /> ��? ' ' TheaKentis.._ -._""___""'__""_'""'_" <br /> j "' __ <br /> ..__. '__'__'___"'_ <br /> ___.__'___'_'_ <br /> ;. :'�y Thie applicatinn.allhough signed.shall not be binding upnn the City, until ao <br /> "�tk��'�•':d 6y'Phc Superintendent n(tlie ntcr Urpartmeni. <br /> SiFned _.__ _,JEf-�_���� <br /> % � ' ��y Applicant <br /> lcccpicd �. / �_"_' <br /> r' _ �_(-�_-_ly�� Rt' .��_ s_ .. <br /> - l �___..._'_"_..____ <br /> . _ SnttrlmenCem <br />