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r n TD 7, � 2 r. i)(. <br />�_ . _ . _,,,,���,_,�1 �- � G - , s� <br />11'. D. Prrm .I- - I50��-E.P.Cu-v.4G.^4 ` <br />CitS� of Evei•ett��iJater Dep�rtment <br />.��'�P��:CAiION FOR WAT�R <br />All Ulan!<s mn;t C^ filled in or cros��'ed out <br />� �verett .......................... ��/..�7 ......_19°.E'f..� <br />... _.. _ ....... _..... <br />TO TI1R FUl'lP.INT7:PIDI3NT OP THP W,qTER DEPAIfT3Ii3\'1': <br />C1TY JR LVBI;�TT: <br />I hereby app;y ior the use oi w;�ter iu xccordr.nce �cith the rvles and tegu- <br />larinns of the Nater Dep:trtment, for pm�poses and fis'ures atzted belo�r, <br />Dm�ing tl�e time thnt anp of tnc ���ater mains m.iy be taken up Uy rcason <br />of :my improvements uuthorited by tl�e City of Ccerett, in or nf any sW�cet ar <br />allcy in ��hich they may hm•e bcen inid, thc Citiy will not U� required to fnrni5li <br />�a�,�ter during the progress of such :min�ocemrn:s to miy consunicr �v)�ose sunply <br />m::y thus bc cut n.f, or Ue liablc for :iny dmu. go:; iur i., fuilure so to do. <br />Application No....._....`� � � <br />. ...................... ... <br />' , <br />Elock 3 �._.:O � .. Lot . ..... . ._... ._ . Add. <br />_ <br />_. <br />NO'���� .._ . Strcet <br />3.. _.. <br />_......_... ... <br />_......_.... .... .. _ ............._........._._. <br />1'Le �vork to be c::ecuted by...._._._.. _.__ .........Plumber <br />. _. .. ....__.... __.___.. <br />Statc sizc of tap. <br />�N'........Tap to be inserted in H�e main. C1 �° _— <br />..._�.........�1'atcr clo:;et j,l I d J. <br />...L..........Bnth �`Y . <br />.__...........Ur�.nnl � <br />................Plnin fnucet inside � - <br />r <br />................Sde n•nll: �vasher � <br />..-............Hosc Uib ouL�;ide '�!t <br />._..........._Iiose bib for building pnrPaces � <br />.............._IIose hib inside <br />............... Bib for stablc containing....................stall...._:...._ _._. <br />..../............Numbcr of persons in fnn,ily <br />--.tJ.---....A'umber of rooms i�i building � <br />Tlie premises are to be used as a..... ..�f.,(�, <br />. .. . ._._.... <br />. _........ <br />_ _... <br />The owncr of �lm prc�nises is ..................._...[ • <br />- .. ._. ._...._ ................_.. <br />The agnnt is .......................................— <br />This application, although siFned, s; <br />a<cepted by the 5Upaziatetn?cnt-rr;� �h� � <br />5 ign ed.....-��.. _....,� <br />rlacepted._.1.LC... -.i/.7_.....1�J2�i� <br />� / <br />,�� <br />................................................ <br />dl noU bc binding upon thc City, until <br />ute� Department. <br />� <br />