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� _ N � ' <br />� . . _ . . <br />N'. �. Fum 4 I gG0 J-1- I] C. P. <br />CfTY OF CVERETT==Water Deparrnient <br />Application for Water <br />AII blanks must he filled in `C / t <br />�J l� � • <br />Cverett. .__ _.'_ _.. _-/--_-_ .. <br />'PU 'CHE SUPERINTBNUGNT OP TIIE �VA'I'HR DEYARTniEN"1'. <br />CI7'Y O� L•'`JL•'I2F,'IT: <br />I hereby apply f'r the use uf water in accordance with the rules and regula� <br />�inns u! The Nater D:partmrnt, fnr purpnses end fixtures sta[ed beJow. <br />Durin� lhe timc Ihat any of �hc water mains may he taken uD hy reason nf <br />anv intprovements autho[ized 6y [he City of Evercll, in nr n[ any street ar �Iley in <br />which they m�y have becn IaiJ, the City will nut bc requimd ln lurnish a�atcr during <br />Ihe prn�res u( such imprnvcments lu �nY consumer whnse supply may thus be cut <br />nif. or be 1in61c (nr any dnmuges for its (nilure w to do. <br />ApPlicntiun No.'_��_ �'�'_'___ <br />� .��. <br />lilock ..--_ '___ -_- -_Lu _____ Add_____.. --_.---_..... <br />_'. . <br />-���� �- r _�,�• <br />\n.. 6-.. . ___"_' ' .Stree[ <br />'___..__._. <br />� <br />- ._____ .__.__ . __�__ _ . _ . <br />The w�urk �o im execur�.l u)'. -."' _' _ _' _" .' -. -_"..'_"'. _ _ _. . _ . - Plumbcr <br />State sr: u( tap. � <br />� / ii <br />� Pap m 6c inscrted in !hc main. � <br />' �___Natcrdnsel � <br />__'�_-fiaU� � o-Y <br />�f , D - <br />.. . -__. .Urnal � <br />.. _..._-Plain (aumt inside <br />_ _' ..--Sidc �calk �eashcr <br />_.Hosc bib uulsidc <br />'_ -"-'_ Hosc bib for 6uildinK inupnses _ / <br />"Hosc bib inside / <br />. "'_"__F3iLfurstablecontnining_ _"_"_'-slall"'--"_'- f�.. <br />____ _.._.Nwnberof�crsonsinGmily <br />. S._Number u( ruoms in building <br />"I'he premi;_�s are b� bc used :�s a____ ____'______'_""_.__ . <br />"Phcnw�nero([hepremisesis _'__'___'___'___ _"__ <br />.'_'___"_'___'_'_ <br />neaFentis.."'._"._'__"_"_"' ' <br />.__"'_ ___'_'__"'"_"_'_""__.... <br />� his :�pplicalion.:dthuugh signed. s6�dl nal he binding upon Ihe City, until :�:�� <br />cepted by'Che Superiniendgnt of �he Wnter Ucpartmen[. <br />)j% � %� <br />SigneJ!�.LIL"✓L_.�i l!a__ Applic:mi ( <br />-� <br />_. <br />:lcceptcd� !/" __...��^> liy. _ . <br />- � / " .---- . sim•rimeo+,.ni " <br />