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� <br /> `�- �'�f � °t-;= x �r . _. .��-��._._._y .__ ._ <br /> 1V.U.Form 1—Ifu0—E.P.Co.-6-2fi-24 ' <br /> City of Eve;�ett�Water Department <br /> � � ��a.TION FOR WATER <br /> All bl mks must bc filled in or crossed ont <br /> liverett,.........._...... � .� c� ..192.... <br /> . . ... ....�................................... . <br /> PO TI1F. SUPERINTENUENT OF TIIF. R'AT llEPARTn1ENT: <br /> CiTY OR I3\'�RETT: <br /> I hereby epply for thr use o[�e��ter ih nccordnnce a•iih the rules nnd tegu- <br /> Intions of the Nnter Dephnrtment, for pw�poses nnd fixtunv stuted bclo�e. <br /> of nnyDmprovenentsemt{orzed 6y�the��Ciq• of Ecerett, n orkof n,p�sheet9or <br /> nllcy in which they mny heee been Inid, the C�ty will not be requirnd to furnish <br /> wuter during ihe progress of such improvements to nny consumer whose supply <br /> mny thus Ue cut off, or be linble fa�iy �mm�ges for its fnilure so to do. <br /> APPlicnti,•n No......_�.�....� �....`J...._.......— 7 2 5� . . <br /> Block.....��..y2.zL......::_..,:.:�.. Lot............:.:........................ Add.. _............... <br /> �-- _...._.....__...... <br /> No.....�b............... . .StmeO <br /> ..................................... ...................................................... <br /> The �curk lo be esecuted by....................... . �! ._.....PlumUer <br /> _ _.._ ...__.........._........... <br /> S_tryye eize of tap, <br /> .i <br /> f�.....-..Tap to be inserted in the ronin. <br /> .....�........Wnter eloset <br /> ( dV1 I <br /> ................B n t h (� <br /> .. .......Urinal ��J-����i' . <br /> ..... <br /> �-�.".......Plnin fnucet inside �- � <br /> �......_.....:.Side nalk washer <br /> •••�..-.--..flosc bib outsidc <br /> •..---.........Hose bib for building purposes <br /> . .... ..Hose bib inside <br /> ..............`Bib for atable conlnining....................Atall............... <br /> ..... <br /> ��-..-..�..A'umber of p•rsans in family <br /> ���..�-......Number of rooms in building � <br /> The premises are to be used .... <br /> .. ._... . . . ........... <br /> � . ..... ........................ <br /> The owner of ihe prcc»ses is...... _.. ....... � � <br /> .. .-Q t-�r-�l. ........ <br /> ...... <br /> he ngent is................. <br /> ........................................................................... . <br /> � .. .. <br /> . . . ........... <br /> This epplicntion, although signed, 3ha11 not be binding upon Ihe City, unh <br /> nccepted by lhe Superintendent t the//}Yjp ter Department. <br /> SigneJ..._..�.v.. .Y..t".�'� �/ l �. <br /> ...................._��(��t(� <br /> �j// �_ Applicont <br /> 'ePted.....��.-i+FR••...:.........192.7 By.. . ,Iy/... <br /> ............ <br /> / .. . . <br /> .. <br /> � . ......................... <br /> � � uperintendent <br />