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� <br /> t <br />� <br />` <br /> I <br /> �...Li�—L! ' 1 �-E � I - . �.� ��__ �_. • . . i r . <br /> R'.11.Pnrm 4--3LOJ—fi.P.Co.-6-:bR1 � <br /> • I . <br /> Cit3� of E��erett--�Wnter Department <br /> � '' �CATION FOR WATER <br /> All binnks must be filled in or crossed out <br /> I'svei ett..........._.......�..i../..(.�. ...192..� <br /> � . ............................ <br /> -'IYl _:it; SJP�RINTENDP•.NT OR THL�' WA7�L•'R DLPAP.P1111iNT: <br /> CITT OP �VT1;rT•r: <br /> I hereby npplp for the use uC�vater in aceerdnnce �viU� the ivlrs nnd regu- <br /> Intions ot the R'ater Department, for purpases and fixtures xtated bclow. <br /> lluriug ihc t.ime thnt any of thc �eatcr m:iins mny be tnl:en up Ly renson <br /> o[ nny improacments nuthurized by the City ot liccrett, in or ot uny street or <br /> nllcy in �chinh tlmy� mny hn�•c bcen Inid, the City wi11 uot be required to turn:sli <br /> a•nter duriug the progi�ess of such impro��ements to nny consumer wLose suPP�Y <br /> nuty lltus Se cut otf, or[��be-7liable tor uny dmm�ges for ils fnilnre so to do. <br /> Apt�licntion ro......d..../ � .. �2 (, / <br /> �r.. ...�........... - <br /> Block........_�..�-� . Lot......... �d� - � �- . <br /> ................... . Add. - <br /> .......... ................. ......:... <br /> .........._._........._..... <br /> No........-_��_�..�r ......Strcet <br /> ... ......_......__.................._........_................................................._......................._.._.............. <br /> � The �vork to Le executed by.................. .. .P1umUer <br /> . r�"�u�........_....................\ <br /> Stntc size of tnp. � " �,-- � � <br /> �� �% ` � - � -, � ; , '�\ t <br /> ...��l.�Tnp to Ue inser.ed in the ronin.I<�'.��� r_,:-"•'. ; ' ., � �: . � <br /> •� � . i <br /> ..........`.....\Pntcr closet �( '��:�� f !� lQ%�''�.�. � <br /> BntU C;'�,� Oi �'„i�F'T7 WSiER f,,:7" <br /> ...........—:.Urinul . ......... <br /> ................... <br /> _._.._........ <br /> .........l.....Plain fnucet insida <br /> ����.......:....Sidc wnik washcr <br /> ......._/......I4ose bib outside <br /> --...... ..Ilose bib for Luilding purposes <br /> ..........�..Hose bib inside <br /> ......... ...Bib for staLle containing....................stall.................... <br /> �__�...'.�.....A'umbcr of persons in faniily <br /> -��.�-�'...A*mnber of rooms in Luilding <br /> The premises nre to be used as n...... ............(�,•a./J: <br /> _ . . ...... ............. <br /> The o�vner of the prcmises is.....::. .....l,�� )_�� � <br /> y.�.... ........ , <br /> Thcagent is................................................... <br /> ........................... <br /> ........................................ <br /> This upplication, nithougU signed, aliull not be binding upon the City, until ' <br /> nccepted by the Superintendent of the \V�Jnter Department. <br /> Signed.........1.tG�iyt!Yx-.{,..L��J'r�y APP icnnt <br /> / ..........�. .... ......_. I <br /> Accepted....��....-..ICO........102.7 By....��. <br /> / . .. ............................... <br /> � �Superintendent <br /> � <br />