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� ,_ . <br /> _ � _ . . <br /> �•v. o. r-o��n a i soo a-i_��c.a. � <br /> ��TY OF �VERETT==Water Department <br /> Applicastiora #'or ��g�r <br /> All blanks musL be t��r crr,.;cd aqC <br /> �,.�,�.«..-- -- --/-�'-- 9�� -------���,�- <br /> ro �rii�sur�:e�:.�eraoex r or�re�:w�rt`r•.[z ot;eairrn�rnT, <br /> CITY O� E7Cl2E7'T: <br /> I hen�bg applv (or tl�e u;e of waler in acrnrdance with the rulrs and regWa� <br /> ti�m:n(Thu ANn[a: L,•�����•n�n[. Cor purposes and fir[w'es�late� below. <br /> Durirq [he tcne •ha[any oi thi•water mains ma�� be taken uo by reason of <br /> nny im9ruvements au:��ori ed br Uie City o( Cverc�t,in or nf auy sVcct ur allcy in <br /> �chid� [hey miY h�+r .-.n �aid. the Ci[y will nnt 6e rcquired cr, turnish water durin�; <br /> the qrnGress of si.rl � �vemrnts to any consumer whnse supply may thus be cut <br /> nf(, or bc liable f.' . . d im;iqes lor its (ailure so m do. <br /> r <br /> APPlicn[ion 1� ' Q 2 � <br /> _�.. ..__' _______' <br /> f3locic ..___ _.____ ____ \dd_ . ...- <br /> US <br /> ----��� --- - <br /> � - � - - <br /> -- <br /> ��,. --3/.-2__S_� `�------- ----su«i <br /> — — -- - — ---- -- ------ --------- <br /> "fheworklnbeexrcutedbv ___._____"____ '.._-___._____.___.._' Plumber <br /> St�tc.ize �(l:��. O y��"���� <br /> // �v <br /> `j�-_ 1'ap to be inscrted in tlm main. Lf Q -� �-('� <br /> ______l_lVater clnscl � <br /> .____ (. .F3ach <br /> .___ ._.. .Urinal � . ..���,__ � <br /> . __I'lain faumt msidc �.��' � ' .. <br /> r �l i <br /> - . __Sidc walk washcr � 7�/�� � � <br /> � ,� <br /> _____-_..'Hoscbiboutsidc E ^� III_�wi . <br /> I <br /> ___ ____.Hosebib (orbuilciingpnrpuses '! . �; 4 ��yn�� <br /> ('�,i <br /> - _ ___.Ho.,e b�b i�aide � t�dl' �(J , � � <br /> . ..._[3ibfnrsta6lecontaining __ __.___slall �r_/�/`,(� � . <br /> ---_ .Numbi:o(persnns in f:nnily .:i�T � . <br /> �t : �r�(- <br /> ._ _.7___Numbcr of raoms In 6uilding �:..��'"s""':. <br /> "I'he Premises are tu be used as a_.__ ______________'-. <br /> _'_.__"'____-_ .___-. <br /> 7'heu�vnrro(thepremisesis ____.__".___.____ <br /> __._______'_'__'___.___.. <br /> The agent is .___'_.__' <br /> _.______________ ____._.__ <br /> This :ipplicatiun. although signed, sh,II not be binding upou [he City, until a�,� <br /> ccpled by The Superinte n r thc {Vnter llrp'artmentYJ O <br /> Signed��..Vv!/Y/�(LC.�J_/`v5ti� __Apntic:�„c <br /> -- <br /> � �� <br /> :lcccry�cd_� . .> '_._. -!.9'�=i' It�.� _.'_,. <br /> . . <br /> �'L f' 9 i<, 7-, � v � � �::. �� _ <br />