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�d' S-ap-2 fi'-IC, ti--.-J,.t�t�-- �� _�i, �-" '.- .: . <br /> l\'.I1.liTml..lunU—F..P.C��—L�2C-CE � <br /> City of Eve_�ettr--Watnr Department <br /> APPLICI'zT�O��� FOR WATER <br /> All bintil:s must Le fi�led in or aoserd aut <br /> L•'cerett,........... . .�..3......................_.....19°.Y. <br /> S'0 TFIi: SUi'L•'IiINTliNDGNT Oh' TIiF: � ATF.R DEPARTilSL•':�T: <br /> CITY OF �VP:;:TT: <br /> i liereby app!y for the use of�cater in acenrdance �vith the :ules and regu- <br /> lutions oC lhc �Patcr llepartntent, for pmposes rmd fiz'ures stnted Udow. <br /> Dnring thc timc th:it any of thc n'stcr mxins may bc talcen u�i Ly rcasm� <br /> ot an}• imProvements autlioriud by lhc CiLy of Ecerett, in or of nny streeL or <br /> ::Iley i� �vhirh ihcy mny hnce bcen laid, Lhc City tvill not be rnquired to furnish <br /> «�ater dnring the p�ugre=s of such imp:oeements to ¢iy mnsumer u�ha�e su;ply <br /> m:iy thus Uc cut off, or Lc linhlc fm� :,ny demages for i.s pfailurc �o tu do. <br /> Application ho _. ��_�_�. ...._ � 3� U � <br /> 81ock. . . ...� ..... Lot .__ . . . . .__.. Add... ..._. _ _ ._ ._. . .. <br /> No.._.y.s.�S....�ta-�-c'—f_....., . _. _8treet <br /> .... . . . . _..__...... _...._ _....... ......_ . .y.,....�..._. .. _.._ _. ._...._._..... <br /> The w rk Co b� executed b� �`'`� � p ���. ,�-r�,.y..�-P]umber <br /> �.c[��-'•�"��.� �'--'�� <br /> �st1 � s�Z� of tap. <br /> 7--.......Tup tu bc inscrted in the main. <br /> _�....._.....R'ntcr doset : �- ` <br /> e�.-�- ' �, ' � S _ ___-_ <br /> �...............IIatn r � f '� . <br /> —_,_—......Urinul <br /> _� _Plnin fnucet insidz , � <br /> ..��_.Side wnik �rnahcr �- . ....� . '� •. •"�? � <br /> �— � <br /> .... ..Ilo=c UiU out=idc _. <br /> ."�...Ro=e LiU for bnilding purposes <br /> .�....��4ose I»b insidc <br /> ...�IIi6 for stnUlc containing.....__...........stall............._..... <br /> ................Kumbcr of persons in f�mily <br /> .�..........Kumber of rooms in Uuiiding � <br /> TLo premises nre to be used as n� .. � -��� .-���� <br /> . .. i/1 . � -J <br /> The o�vner af the premises �s. . . _.cf� .t,_SFt_!4„� -__ . .... . <br /> The ��ent is . . ..._.._ . ....... .. .(} ..... . .... _.... <br /> This npplication, although signed, shall not Le Uinding upon the Cily, until <br /> neceP�ed by L6e Supcimten nt of Lhe \Vn epnrtment. <br /> Signed ...r����� ,✓� ...... . .......APPlicnnt <br /> Accepted. . ..... ... _...� .. B� " / ' ���%�� .... ..._... <br /> i7 _�_3_� . erintendai[ <br /> i7 <br /> ' f <br />