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- . i,r i . . � l - � <br /> ... .. . ..ri J 1lC6 d-1-I';C. h. <br /> ClTV OF EVE�E7'i'=--�vater Department � <br /> �g�lalicatior► fc►r i�at�x� <br /> :AII hlanks mu:i:�e hllcd ir.or crossed out � <br /> =/��_ �,�-� <br /> lit�emlt. - l_� ___. _ �_._--______194T�_�. <br /> l��l 7'I i C: SI JI'F.RI:�"PliVUGN7'OF"CI1L 1V.1'1'LR DEPARI'MEN7'. <br /> � CCI'Y OP E`JERETT: <br /> I hereb;� apply for tlie use of water in accnrdance wi[h lhe rules and rrqula� <br /> �inn,a("1'he Nnte: U:par[m^n[. G�r purpnses and Gxtures stared bclow. <br /> Dw�ing thc time lhat any ol thc water mnins may be tnken iq� by rcnson uf <br /> :my imyrocemenL� nuthnriud by thr Ci[y��( Iivercit.in ur o( any streM or alley in <br /> �chidi iheV ma1' h:�i�c heen laid, thc City ivill no[6e rcquired to furni=h �eater dw�in{; <br /> ihe pru�;ress o(such improvements tn:my ronsumrr whose supplv :nap thus 6r cut <br /> �df, ar bc liable for any damapes(nr ita Cailure sa m do. <br /> � �� <br /> � � olicn[ian No._ �__.__. y <br /> .,� � _' <br /> Iilud: .'_�_��J Lo[/}_��__._ 1dJ. _.__ . _".__.___. <br /> �,j i <br /> ' <br /> \u._ .�_L__� )__ _ � _. "__________ __. Svcct <br /> ___ ___________yf 1' ___'.___.___.____.__.______ ._____-_______.-_-__- <br /> "1"icworkto6ec�ecutedby_-___.._______. _ __.___._.'_._ __ Plumber <br /> tillrtc sr •uf L�p. ' : <br /> . . ��yPap In be inserted in Ihe main. � � �j� <br /> ...__-�-_Na[cr dose[ '� <br /> __..__�__ Ba[h <br /> .__. . s��.11rinal <br /> ._.__!�_Ylain Laucet insidc <br /> ________Side�valk washer <br /> . _ __�._Hose biU uutsidc <br /> ._____"_'Hose bib (or huildinF: Pu�poses . <br /> __'Ifosc bib insidc <br /> '_ � <br /> ________Bib tor stable contaiuin� - . . .stall . .. .. <br /> .__.�umbcr o(P�rs�.ns in familp <br /> ._____.___NumUer of rooms in building <br /> 'fhe premises are tu be used as a__ .._.. .._.._ . ' /?-. .'�-- .. -.— <br /> �p? l_l<.�.,uv' /- ( /%��1_., �_.-, . <br /> 'I�he oa'ner of tl�e prcinises is _____. , ._ . <br /> The aKen[ is .______.._.___.______________ ________'_____'___'- <br /> Thl� -.PPlicatinn, ;iltliough signed,shall no[ be binding upnu the City, unlil ac <br /> r:�d by Tlie Superiniendent ([hc 1Vnter Deparlment. �. � <br /> Si�;ned.__c_______._____.__._.__ .�'L'��`�'_�l..__'__Ap,plic;mt <br /> f1cG _ _ `'/"".��� By_ . _ _ � � . S� <br /> ��.we:n:�-ni A <br /> / p <br /> ./ . <br />