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� <br /> ,Z�c�=�,: ,, - i , <�_. .;_: , . , r- . <br /> tY.17,Pormd-�1�00—E.C.Co.—S-:G�24 � , ' <br /> C�ty of Evei�ettr�7�iter DcY� �rtment <br /> � <br /> ��.PPLICATION FOR WATER <br /> p71 blmil;s must Uc £illed in or crosed out , <br /> � ` � <br /> �vcrclt.................�.....��. .........5..................192.Q. <br /> � <br /> TO TI3E SUPF1121NT�NllCNCITY OF EVE1tC T PP'.PARTi1IliNT: <br /> I l�creby npP�Y for lhe use o[ watm' in accordance �s'ith thc rules and regu- � <br /> IationsDuring the'timc thutLnny offthc witer mains mny�be taken�ap�Ly runeon <br /> o[ nny improcements authorized by lhe City ot Gcerett, in or of any street or <br /> nlley in .vh�ch thcy may huvc Ucen I�id, thc City will not Le required to furnish <br /> �vacer Juring the P�'ogre:�s ot such imPro�•ements to nnY cunsumer wliose supPl� <br /> mny tLus Lc cut off, or UcU linpb�le for :my72��Gs for ils fnilure sa to do. <br /> Appliudion No..._....._A. d....7�...�--__... � <br /> C / ... Add.......................__......... ..... <br /> IIlock..........._�..r�-.�............ Lot...f.q.^.. ..... ............ <br /> xo..=�..�'.0.3..`�27.a—fo.-�--_..............str��c <br /> ...._......_......................... .. .....,........_............ <br /> _ ............. <br /> .................._... . _ <br /> _. ........ .. ...Plun en �. <br /> 'Chc work to bc executed Uy_._... ........ ...____..... ..._.. .. . <br /> Stptc size of tnp. • <br /> � Tnp to Ue inserted in the mnin. � '�� <br /> �.��..__ 0 t` <br /> ....I.........«'nler doset � �� /� !�' <br /> ( .....Bath l �/ <br /> .......... ,� ,\ \ <br /> i <br /> '-- .—....Urinnl . - -• - <br /> ,�.:. ... i f�..,��/�' �' I � n 1 <br /> .....Plain fnucet inaide �'������� I ; <br /> , �S ���� ; <br /> �.'-_�.....Si�c «•nll: «•nsher .-r� <br /> B P . ' - ':l�^. .�• <br /> ��: Iiose bib outside ,,I�ti• �1 . �. . �� :.�. <br /> ..... <br /> .stnll._r.n��1'f.l; . ... ,i�. IiiP'� <br /> ( �� <br /> --- IIosc bib for Luildm per oses . <br /> ................ � � <br /> ., <br /> � .:-.:.:a......37osc LiU inside .. . <br /> �--...Bib far staUle contnining.................. ......... � <br /> ........... . <br /> ..,_.�„-.NumUcr of persone in fnmilY ' <br /> .,... ... Number of rooms in Uui�g���`G.�d:?rS.�.Y�`����'�-'Z`�.; II <br /> 3. ..... <br /> q•��� premises nre to Le uaed us u.._.. <br /> he o�cncr of thc Prcr.iises is_«�R-�`�-�-�1 / <br /> � ..........................I..... <br /> 'hc aSent is..................................................................................... 1 <br /> hie �plicntion, clthougU siGned, shall not bc binding�n '.he City, unti <br /> •d bp the Super�'dendent of the \Vnler 77�,,,Pn hnent. � <br /> �� �J %, .��'r-�APPI' nnt <br /> �SiEned..��lfj�,�,' �G'�t_�(/..... .. <br /> ............. . <br /> / _��i <br /> ` . ... ... ....... <br /> ..... <br /> �� ' Superintendent <br /> ,teJ......7....-..(-�.......'.1..�.. 2...... BY. . <br />� <br />.�_ _ — . _.� __ . __` _�._ . _ — �_ <br />