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� <br /> ...,.-- - - _ - <br /> �_,. _ :� , . � ' <br /> �e.n.r��N�•�con-e.r.co.-sac sa <br /> City of 'Eve'rettr—��'�ter Department <br /> APPLICATION �F�R WATER <br />� �ll Ll�nks must Uc t�01' �rossed out / . <br /> ��z s 1�.... - <br />�. Lo�r�tt..................._.........................._.................. <br /> ...... <br />� YO TIIG SUPliRINTCNDENCITY OP EVEI LTT;DliPART\SENT: � <br /> i liereUy xpP�y for the use uf �vater in nccordnnce �cith the rules �n��re Son <br /> lations of the Nnter llepnrtment, for purP��`rs mid tistm•es stated belo�c. <br /> in ar of amY strect or <br /> Puring Uie lime thnt nnp of tltc ��'�«� »1i11°g mnv be taken uP <br /> thc City ���11 not be reRuired to furnish <br /> of nnc imprucements nulhnri2r.d Up the Cily of Lvere . <br />� nllcy in ���hich the}� m�S hn�•e Uecn lni1, <br /> may U�us11bc cu�t otf or bc 1 uble for���nY �n»��sP9�for its�fniluro so to doU����Y <br />, � �pp : <br /> .........../._.... : <br /> ppplicnlion No............ ....... <br /> _. <br /> - ' . . Add.. ._.... ......... ._.. <br /> . ...... Lat.............::.__.__..._........ <br /> __ <br /> lllock.............�._�..�.... .. r <br /> �.2 �e�.� ���"1...,_..............Strect � <br /> No...._. ... ... ....... � <br /> __......_.. .... <br /> ....-_.........._.. <br /> ......................................................................... . <br /> ..._.._..__......_.. <br /> ..___..............Plmn er <br /> _ _.. . <br /> The ��ork to be esecuted Y�-���--��--- � <br /> S[nte size of tnp. � <br /> / 5 ° <br /> :��2-;,,;..,..TnP to bc inscrteS in the m2�n. ( `�� <br /> ..............\1'nter closet (+� - �R <br /> —.....Bnth /7 ///''' . � <br /> �...Lrinnl �f � <br /> ..... .. <br /> �__,pinin fnucet inside N��/ o - � ', <br /> ............ C(iY 0; : � ., ���7_ <br /> ....."c.-...:..5idc n•nik �cnshcr r>,. �V•B:Tr {ini�� �c?'f . . <br /> , `,..—:.Hasc biL oulside �............. . <br /> ..`.—:,I�osc bib for Uuilding P��rl�oses .......^....................... <br /> .....:....�1Iose UiU ineidc <br /> ._�6-for stable contnininF....................stall.................... <br /> -.-�fiuniUcr of persons in tamily <br /> ._,.�..,�. �...Numbcr of rooms in Uuilding <br /> _ _ , <br /> q•��� pr nises nre to bc useS ns n /���/� (�� . �- --� <br /> 11ic � of tlie prcr.iises is <br /> ' 1� .... .. .. ... <br /> .... ........ <br /> The ,gent �s.................__......... <br /> ... . ..__.. <br /> Thia npp1�cntion, although signed, chnll not l�c binding upon thc Cily, until <br /> nccepled Uy the SuPrrintcndcnt of the \1'acer DeVnrtricnt. <br /> ��!/!�--d"�� � t.._._�...._'" ...... ... ........ApPlicnnt <br /> Si Fned.. ........ .... ......... <br /> ............. <br /> /� � � BY.. .... .. . .................................. <br /> ' __...._...._1'J4�1'�. - ,;:, perintendent <br /> Accepted....�1�-�-r�`y <br />