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r«z�1/' i-�-v -,:./ lf ' -- +�:�na_i3_ P �� r(,- .r � �( <br /> . . � <br /> W.U.Pnrm�—ILpo—£.P.Co.—G 2G2J � . . <br /> �ity�of E�erett��V✓at�e.� Department <br /> APPLICATION �OR WATER <br /> All blun}:s must 5e filled in nr crossed out <br /> ___ <br /> L '� // � <br /> Ev^rett.................._.,_.�..._�liG1..._/�O.-..............19Z�� <br /> TO T1tP SUI.'ERINTHNDENT OP TI WqPER DCPART11fENT: <br /> CITY 0�-F.'.t:TT: <br /> I hereS}• npply for the use of��•aler in �,ccord:mce wilh the rules and tegu- <br /> lations oC lb.c �Futer Department, tor pw�pcses imd fixiures stnted beluw. <br /> Tiunr.g U�e time thnt nny of the tsator mains may be taken up Uy rcason <br /> of nny impiovements nulhurized Uy th� Cily of Gverett, in or of nnp ,trcet or <br /> ;Jley in whirh they may have bcen laid, tn� City �eill not be, mquin;i to furnish ' <br /> water during the progresa of such improvements to nn)� cunsumrr �chose supply <br /> m;�y tLus Le cut off, or 2be ]ij�ble for :wy dumnges for i[s failw'e :�� to du. <br /> APplicntion No......_1...L2.J................. � (c� 93 <br />� I31ack......_.�.�..�.2......._....... Lot.......�....... . . Add._._ ._. ... . .._ .. _ . <br /> . ......._...... <br /> No...._.._./��.�.__.�...... � ...._ _........._Strect <br /> G <br /> .__. _. . ....._ _ . ....... .... ........ ....... � ........ . .. ...___.... <br /> 7hi work to ti c:ecuted bY - G-.�!!� . �.o._._.....PlumLer <br /> �� � '�f�` <br /> Sla1t aizc of tnp . <br /> ,.1.�.(.1.��.....Tap to Ue inserted in the mai�:. <br /> .....1........\i'utcr cluset � <br /> .__�........Bn[h <br /> ......__......Urin nl . <br /> ..._%.......Plain fnucet insidc <br /> .____ .....Sidc �valk ���nsher <br /> _...�........IIo�e bib oulsidc <br /> .._.._........I{ose bib for building pm�pu=es <br /> ._.......-...._flosc bib inside <br /> _.... .......IIib for staLle containing..........._......stalL_................. <br /> ....:.�....Numbcr of Persons in family <br /> ...� . ....Numbcr of rooms in building <br /> The P�'emises nrc to be used as n. ,. ..�.�� _.� __ <br /> _.. ..__... <br /> 1'he owner of the premises is ../)?/ L�ivt- �r�iy <br /> . ._ ?_.._... <br /> Thengent is................................................._......................................__...................._.. <br /> This application, y�lt ugh signed, -h. 1 not be binding upon the City, until <br /> nceppted 1iy t!e Suyc�ft ndent of the, .�tcr Depnrtm,Y"t. ' / <br /> L �/C�iLG�if..r <br /> Signct C�.��?� � .. �. . Lcnnt � <br /> ........ ..... ...... <br /> L-/_� �/ � � rr � / : <br /> n���r �a i,2 . ns .c� ��:y R.°, i <br /> � n��t 4 <br /> _ � <br />