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�' • . v + K�� T�• <br /> '\V. D. Pt,rm 4 I 500 J-1-17 C.R � ' • • 1 <br /> CITY OF E1'ERETT==Water Department <br /> Application for Water '`� <br /> AII blanks must be filled in or crossed nut <br /> 7 � .y� � <br /> fivcrett�__ _________"'4?'�___�1._'__.__,.1!!Y' � <br /> ______ <br /> T�) 7'HF. SUPERINT6NDF.NT Y� ' i{�; NATER DEPAItTA1GN1', <br /> CI' 1' OI> IiYIiRETT: <br /> 1 herebg apply !nr the use o(aater in :�ccnrdance with the rulcs nnd regttla� <br /> tinoe o[The Water Deparnn�nt. for purpnses and fixturev statcd beluw. <br /> Uarin�;the time ilctt anr ui the water mains may be talcen up by reason uf <br /> ❑ny impruvements authorized br th�•Cito n(Gvercl[.in ur of any street ur allev in <br /> which Ihey m:iy h;�ve becn laid. the Cilc e•ill nnt be mquind to furnish water dm�ing <br /> the prugress u[such improvements in:up�cunsumer whose supply may Ihns be nrt <br /> uff. un c� liablc for any dam;�ics G�r its lailure sn tu do. <br /> Applicnlion No.._ � a'0 <br /> "'___' _"'____" <br /> ni���: ....t�..3_$ __ L„�.�3_-�.---- na�i ---- - <br /> ----- <br /> — <br /> no.--��i _._.�Je�/CLo ---..strect . <br /> G • ------ -- <br /> _"_'_"___'_""'__'"" ' _"_'"'___'"_..._...__"""_"______-___'_____"___"'___'__ <br /> 7'hcwmklnbecscailedby___.._ ____.._________ Plumbcr <br /> ""_" '___ <br /> State/y�i.:c nf tap. <br /> -.�L._2'__,Tap tu be insertrJ in the main. �(` <br /> ____..�__l5'ater dosct ��/ i ,/ � 00 <br /> ---� —u:�u, <br /> �� - <br /> --- �-- .urinat <br /> -.._._____plain faumt insidc <br /> --_____.Sidc walk �vashcr <br /> _"__'_liosc bib oufsidc <br /> _._'_.__.Hosc bi b !ur building pu rpuscs <br /> _'__'___"11ose bib insiJe <br /> -""'._'_IiibforstablccoutaininK __._'..'_.stall__._ .."'_ <br /> __"�.".c_—_'Numberof persuns in family. <br /> —.-]L___Numbcr nf rooms in building <br /> 'Che preinises arc tn br used as �_ . . <br /> ".___'__ ._. . ..-._"__'__'_ <br /> '1'he owncr r�f the premises is ___' <br /> _ __. <br /> �.Gt�""" <br /> . ..'___ ""_""_"""' <br /> 1'he ngent is.._"_'____ _ _ <br /> TLis :�pplicatiuq althuugh signed, shall n�n bc 6inding-'in�� lhc City, until ac <br /> mp(cd by The Superintenden[o the 1'nt� )ep�- f. <br /> Signed! __ �_ ___Applicant <br /> 4� . <br /> � ___________ __'.' <br /> Acrepied r '.�_ __19YZ I3p. <br /> ___._ <br /> . ._ _ __.__. <br /> .__._..��,-•.:��i.n.:-„�_._ <br />