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^ �I i <br /> ... .�. FCm � ISf.pt.l-I]G.P. <br /> CITV OF EYERCTT-=Water Depurtment <br /> f�p1alication for Water <br /> .111 Llanl;v mu.l be Llled in or cross�d t / <br /> Gvrrrl4 . .'_' -___ "__'_�'_' _____'__IYi '.... <br /> 'I'i 7 "CI IE Sl!PIiRiN'PfiNUliN7'O�'f . �1'ATGR DEPAHTMB1l'. <br /> CI'I'Y OP Ii'/I:N[i7'T: <br /> I hereby apply fur the use o(water in :icrordancr�cith the rules and regul:r <br /> ..��:i;nt 'Phe Nater DzparUtrnt. ;ur purpnscs and lixtures s�ated Lelou'. <br /> Durin�; the[ime Ihat an��uf lhc w:itcr mains may be takcn up hy rcason uf <br /> :mv imPruvemenls nulhonzed h�' Ihe Ci�p ot Everelt.in nr nf any sirecl nr alirp in <br /> �.chich [he5' �uaY have been I:iiJ. the l;it7'w�ill not i�e requi;r.��l ln lurmsh w�ater dunng <br /> ih..� urnqress u(such imprnvements to any cnnsumer ��'h.�se supply maY lhus hc cut <br /> � ,.. ��r I�c IiaLle for any dam:�G�+fu it, hilure so m do. <br /> ;�9/� <br /> :lpplirntiun No.'_' '_ '_"__... <br /> 81nck . /._._^�_r_'_.__La[ -�_ __..._..._.._AdJ__. . _ _. . . ... <br /> \'o..'_l��9-. ___���\_ .Sirect <br /> _________ ___ ___ _.__. .._ <br /> 7'he work lu be ese[uted b)'__ __' __""'_' _ . . .._ _._. _. _. __ Plumber <br /> tit:ite s�.r u([ap. <br /> -��_'Cap [o be insertnd in the main. � ��� j <br /> . '_�_IVaterdnm: <br /> . .._.�_.Iiath <br /> .. :Urirtah --' � . <br /> _ �_Plain taucetinsidc 1 �. <br /> . _ ._�idrwnik-n:�shCr �" i . <br /> � 1� , <br /> �_Hose 6ib uutsidc i i �- � . <br /> .. -. Husc_hili.tothuildiu�;�wywcwr . '.� .. �,' <br /> � ! <br /> . . ___.4{nsc hili' , � �- <br /> ___ .'_Iiiblorstabl�+-�:++xtxinin�''_.'_stall_��___ <br /> . .__Numbcr of persons in family <br /> � <br /> _�_"'_Numbm�,d ruoms in building 1 ,. <br /> 'fhe premises are tn i�c used as. �__.._. '�f` <br /> ��j� / _ ' .. <br /> __'- D <br /> .. � i�l/�/'a(�( /'�'` . <br /> "' ' " <br /> lhemm�ernftbepremisesis ___"'_""'_"_'_ _'__'. .. .". / <br /> _.(�"'___._ . <br /> Thea�;entis __..____.__ <br /> ._____________ __________-_-___ ___________.. <br /> 'fhis app�icatiun.ahhough signed. shall nu[be binding upnn the City, un�il ac <br /> •.' '�v Thc Superimendent of[he INa[er UeP.�rlmcnl. <br /> � / . � <br /> SiFned__i�. ���l�y�-c �- � � _APPlicant / <br /> �� — T -. l'7i� Rc � � - � .��m.�,:.r_ __ ( <br />