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� T 14 . <br />. 1 <br />•�k'.�P. :rm � –�Snn--F,.P.Ca.—G-2G2{ <br />�..-vt�-f..\J_� ' . .. . / ii <br />City of Everztt--�Jater Depai�tinent <br />APPLI�ATION FOR WATER <br />All blarks must bc filled in or crossed out <br />Et�m�clt,....._��L/..2/1. f.._......._ ........................19?.._.. <br />TO TIiE SUPERINTI'sA`DPNT OR TIIF. \4ATSR DLPARTidtiN'P: <br />CITI OF IiVE1:ETT: <br />: hereby aryply for the use of �cater in ;.ecerdance n•ith the ivles n^d regu- <br />lations of the ��'uter Depnrime�l, for purposes and ti�tures sL•�ted bd:��v. <br />During tlic time thnt any of tlm �vntcr m:�ins mny he inkcn up bp re�son <br />of nny iinprovements authorized Uy thc City ot lirerett, in or of nny streel or <br />alley in w�hich thcy may hnac 6een Inid, the City will not bc required Lo furni=h <br />wiiter dm•ing the.progress ut such imprm•ements to nny consumer �shase supply <br />msy thus Uc cut oft, or Ue 1in61e fer nny dmm�ges far its fnilm•e so to do. <br />Applicntion No....Ff..G.%..� ................... <br />Elocl:....._� ��...._....___.... Lot..... �....__._ ............... Add. ....... ...._ _._......... <br />A'o......_. y.s ..�. .,.. _....�,,fl_4�'�1,. �t......._Strect <br />4 <br />_..__ ..............__.._. .................................. ..._................................. <br />Tiic work to be esecuted by... _..._..__. _. ___ .. _.......__. _.__..._._.....P1umUer <br />Statc aize of tap. <br />._�2-.._Txp to bn inscrted in thc main. <br />.............._R'xter cloeet <br />................ B a [ h <br />................ Urinnl <br />..�..........Plnin fuucet insidc <br />................Sde ��•nik a•nshcr � <br />......_........Ho=c bib oulsidc .� <br />_ ..............Aose bib for 6uilding purposes <br />..._...........iiose biU insidc '' �j —pC <br />_ ............. Bib for slnble cuntnining........._......_slnll......._.......... � <br />.............._A'umbm• of persons in fnmily <br />.._�.__.Number of rooms in building <br />� <br />The prentises ntc to 6c used as e........._. _. _�!/,�,�. ........ <br />. _ . .. . ...�.5_._. <br />The o�vner of the premisea is.._..�..�.-.�. . ,.�____CG,,,,._ ,-{yr����y� <br />Thengent is ...........................__.................................................._........_......................... <br />This application, althou� sig ned, ahall not be binding upon the Cily, until <br />�. ,. '�v the Superintc . tipf L Na! • Depnrtment. <br />' .. �!' ��3������.... A�PPlicant <br />:ned"C.. � ..................... <br />• � . _._....��i'/2..r...19Pj� By.. .. ' �.. .... .��jrl <br />- -" . . . .... <br />�.�` �'ntendent <br />