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t <br /> � * <br /> I� <br /> / <br /> �.L ( �' '_ <br /> l�1.�-f1 �'2 i"�-�1��\ ' �L��I,:t� �_� . � ' . , � ' <br /> «�.o.r•����a-icoo-E.r.c,.-ens-za <br /> �ity of Evei�ett--�W�ter Department <br /> ' � _CATION �C►I� ��"�,�l� <br /> A11 binnlcs mu=t Uc filled in or cr,�ss 1 uut <br /> I Evcrett�..........._....... � .f�!_....___...-_.102._� <br /> ............... .... <br /> TO TIL� SUPliRINTCNDENCITY OR �V��I PTT:�Fp��T1R:N'f: <br /> I h�reby apply for the use of ��'ater in :iccordance weth the rules and :egu- <br /> latiims oC thc Water popnrtment, tor pnrposes und iix<m'es stnted bclo',v. <br /> Tiuring the [ime that any of tnc �cater mnins mny be tnken up by rensou <br /> of :.ey imPr'ovements 2uthorizcd by the City of CvcretC, in or of nny etrcet nr <br /> alle.: in which ihey may hnve b_en Inid, lhe Ciiy will not bc requimd to furni�h � � <br /> w:dar durng the pirogress of s�ch im�irovements tu nny consumer whose supPl)' <br /> nu:;o th;:s 6e cut uff, ur be l7iable for any dama6is 'ior its f!�ilure su to do. <br /> Applic:dion No...._...�_(..._��........ <br /> Blocic....�.�._�..........._.... Lot_;�..��_._ . ... Add._......_ _.�.....__.....___. .. .. <br /> No_..o�._-..._...... ._ ........ .. ...._.......... .�et <br /> �9� o � �� q... .�-4�t�...,_....__.._................._..._....._....... <br /> ..._.._..........._............._..... ..._...... <br /> Thc �vm�k tu be executed 6Y....... .--� <br /> -- ......._. _._._ __.. ..__._..PlumUcr <br /> State sizc of tnp. . � <br /> .�..�.�...._.T;ip to be inserted in the main• <br /> �,.......R'nter closet /� v v <br /> racn lLv —� � <br /> �- <br /> ................Urinal � <br /> ,.V.,Plnin taucet inside <br /> .—,...-9ide �va]k wnslicr , � / . <br /> -............_Hose Uib outside �, . . <br /> �— <br /> ...............Flose bib for Luilding purpr.:cs <br /> __ <br /> ..._...........Hnse biU inside <br /> �- <br /> ......_........Iiib for s:nUle contninirP-...... ._.........st:�l.. :.J...CS_. <br /> -- <br /> .-..�..__Numbcr of perso�s in i.�m� y <br /> ,�-f .....Numbcr of rnwus in bu�ldin <br /> The P�'emises nre to Ue used u. a � �� ���--- '� ---�- -��� <br /> � <br /> The o�cner of the prmnises is ���P�_21Le,.. j� �.`-.2:�:U �c��-C� <br /> Thcngent is....................._.. ...___.._._.................._._..........{x..�. ..........._......._..._..._ . <br /> V . ... <br /> 'Phis npplication, nith i h signc�l, s1i � be Uindin upon thc City, until <br /> acrepted by the Supcj dent of �,� � epnrt . <br /> Signc//�....._........_�....v�i�2���..._....,.... Plicant <br /> ,���� ......�...... <br /> Accepted....����.:-.......102?. BY......t�//L . <br /> / " " � .` . Supermtendcu6 <br /> � _ <br /> �_ <br />