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`z.�zG 9-'l -�� �f <br />. . �.,�.c. - . � ._� <br />��:. n. r;,.� a�--v,au—e.r.co.—c-:s t� <br />City of F�vei�ett�«7ater Dep�rtment <br />APl LICATION FC�R. WATER <br />All blunks must be £illed in cr cras ed out <br />Bvcrett ................................ �� S �q <br />....................._........_... ....! <br />I'O 7IIL SUPEPL:NT3KDENT 07' 1'IIE \V.4THP, DI:PARTDfEN'P: � <br />CITY OP EVEI2BT7': <br />I hereby ap7�'y for the use of waler in :iccrrdnnce �vith the rules nnd reg�- <br />latiuns of the Nuter Depurtmc�,t, for P���P�"�s ;md fisWre:, stated below, <br />Luring thc time thnt any uf the tc;itcr mains may be taken up by reu=un <br />ot any iu,proecments authoriaed Ly the City oE Eccrett, in or of nny street or <br />:J�cy� in which ihey� ntny ha�'e been laid, the Ci[y wil! noL be required ta furni�li <br />'•c.ler Juring th,e progre=_s ot such lmproe.meuts to any consuroer �rlmse supnly <br />m:�.}� t6us Lc cut off, or bc liablc for :my dnumges far its fnilure so to da. <br />Applicntion No............�V.�.../..__ �S 8� �,.i_S ��.�.�...c_( �- <br />,;�,���...p........r.7.�.�........ _ _ Lot...�_c_... .. . ... ..__. Aaa._ �_._ ..... __ .. . <br />10. . l..U_ �' / �....` . .............Street � <br />....._. _ . ...... L . _........ <br />. ... .........____ .... .......... . ...___. <br />.. <br />The work lo be execated by.....___._... .._.e� yo.T¢��.-__.PlumUer <br />e size of tap. � c''' <br />���._....Tap to be inserted in thr, r,�ain. ,(� r' �' � <br />� J <br />...1__.-..\Pntcr claset � �� / t�t \ <br />.�......_.....BatF. .{' <br />_ µ <br />.--..-.......Urinal � -� <br />L:..:......Plain faucet inside ..-. ' ' � <br />.— _ � � �.�.:.. .�a ! % . <br />5ide �cnik �easher '- � ' �/ . <br />� _.........._� , �� - 3 <br />..............Hose bib oulside '�''1' ,�.- _ r j �j � <br />_ . h; il�i'1 <br />..... ....Hose bib for Uuilding purposes� � ,.,. ��r;r:... ' .. <br />_—�_ ..., <br />..__..........Hase Uib insidc �� .` � <br />... .. ..Bib far staLle containing ...................stnll............._. <br />..-... .A+nmbcr af persons in fnmily <br />� . -......NumUer of �anms in building � <br />The Premi:.ns arc to f.e used as u �� �-� L. + <br />` ..�.',__.S. .._.... <br />The owner of the pret�iises is._ ,�-�—��,�-p1 <br />Thc agent is..... ....... / � � .... � <br />. . . ....... ..... ............................ <br />This npplication, ¢Ithouqh signed, ,hal( not be binJing cpon the City, until <br />m�cepted b;� the Superinte • cnt of the 1V � er )�mrtnent. <br />Signed._..... `..._ � nt <br />.. ...... ....... .. ......_.......... .. <br />. . ... . � ....... ......`APpI icn <br />J�., .. <br />.-.:�.1.-.:.i'{. 2...... By../.j,Ly , <br />G>T _ . . ..f� ... ... ............._ ' <br />��,SpperEntendent � <br />s� 7 — <br />