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6✓.✓ /—/Y'_iYC L��—iJ i i � <br />— � � ' <br />, N', D. Fenn � I500 J-i-17 C. R y ' " <br />CITY OF EVCRETTe=Water Department <br />Application for Water <br />.411 6lanks must be filled in or crossed nut <br />7 � <br />Ecerett�__ ___ �__""___.191�'_ .�.,_ <br />'PO THE SUPF:RINTENUI?N7' OF THE WATER DL'PARTMENT, <br />i;i7'Y OF F.'%ERETT: <br />I hereby apply fnr the use n( water in accnrdance x•ith the rules and regul:�- <br />tions u( The Water nepartm �nq (nr purpoxes anJ fixtures stated belou•. <br />During tl�c eime ihat any of the e•a�rr mnins mny be taken up by reason o( <br />any improvemen[s authorizeJ Ge !he City uf :icerett, in ar of any strcet or alley in <br />which thry may have been Inid, the Ciry will .in[ he required tn (urnish water during <br />the prngress ot euch improvements to �ny consumer x�hnse supply may thus 6e cut <br />oif, or 6c liablc fnr any damaRes fnr its tailure 's/o to do. <br />APVlicxtion Na."'_ �c�-r7.�c�_ 7_�� '�r <br />Hi���k - 3--��-3--- ----���----�-=`--3 - -- -ada --- <br />- -- -- <br />��..1__G o S.. (���-��_.:.ti,�-- — --- .scr�rc <br />----� — - ---- - ------ - - ------ --- -- --- ------�----- <br />7'hewurktobeeaecutedby'_'_���%�______'________' Plumber <br />Sta(a izr o� tap. <br />._�'7�_� Tap tn be inserted in the main. <br />� _�___Water dnut / ` <br />--- i � aD <br />""�"_.IIalh �- /�' <br />'__?.c_ .Urinal <br />._. i.__.Plain (auccl inside <br />.-_ �.."'_Side �calk q•ashcr <br />"' �'_.._Hnse bib nutside <br />_"ii'____Hose bih forhuildin� pur�H��cs � <br />---�-----Husc bib insidc . � <br />_.- r <br />__" ___RibfnrstaUlccuntaining._'___'.__.s[aIL_ � ' � <br />_..: <br />_ y__. Num6cr o( persuns in family . <br />_"7'_ <br />._-C______Nwnber uf ronms in huilding � <br />Thepremisesnretobeusedas/a_.__/�LR._""__'_________________ _____ <br />"1'hr nwnero( the premisrs is L�ii"4ua..:....,�'�7:Ge�L:_...___"_"" <br />TheaNenliv.'_______ ...____ _"_.'__- <br />"_ _"'_"__"""". '_'_"'_ . <br />This application, althuugh signed, shall nut be 6indinK upnn the Ci�y, umii ac- <br />crpted hy The Superinlen n[ n( the Nntcr Deparun,f��� <br />' •'� Siqned�f-'-Y%�'�__/-L.C.GG�'__ Ap licant <br />�" "' <br />_,,�� 7-�---.� ks�---��—�-��---- <br />; ,�.,��,������ <br />. �= <br />• <br />