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L�.v' i-'v G�' 6—J� ' Y-� � <br />N'. o. r'cnn � �sco :;.I-I, a P. � ' • .• <br />CITY OF E1'ERETT==VVater Department <br />Application for S�Vater <br />All Llanks must bc filleJ in or crnsscd out <br />i / <br />Iivcrr.tL.-_._______._ fic.��C'_. ._ _,1911"__�. <br />TO l'HE SUPERINTF.NDIiN'P OF'1'HE \V.\TE[2� Epp12T\fEN7', <br />CITy pF 1?9�RBTT: <br />I hereby appl�� for the use nf water ir. accordanee with the rules and regula� <br />ti-�:�s u( "I'he 1Vater Dzpartment. fnr purpnses nnd fixtures stated bcinu•. <br />UurinK Ihe lime U�at nnv of the water mains m;�y be taken up by reason of <br />anv improvements authoriud bc ihe Cih� u( licerett. in or a( any strmt nr alirg in <br />�chich they maY have been laid. the City will nnt Ue required to furni<h H�ater during <br />�h�� proFres� of such improcemrnts tn any consumer �chase siq>ply m:iy Ihus be cut <br />��ti, ��r bc liablc for any d;nnaKes (or ite failnm sn to do. <br />Apylicnlion No."�'_ v <br />� � . _ ___'_.___ <br />Rlurk -_'_'_"" _ _LoL_�, —l-�^�� \dd <br />� —7 ,f <br />- ' __.___'._.______ <br />Vu.__�.3.i-O.l-% c _' G-C._.Streel <br />� ---'-'--- G�'�`-Q <br />. .- <br />. .._..---.. / <br />-----------_.--------------------__. ---- <br />"1'hewaiAlobcr�ecutedby._._"' ___"""'Pimnber <br />___" ' __"__o 0 <br />titatc �izc nf tap. <br />���.'Pap to be inserted in the main. / S.__ <br />_ - ---_R'ztcr do�et <br />. _. __.13aUi <br />Urinal <br />- _ _..Plain (aum[ insidc <br />..__Side aalk �cashcr <br />..._Ilose bib oulsidc <br />....__ Ilosc bib fur building purpu.cs <br />---.Hosc bib insidc <br />._.____Rib(orslahlecon[aining._____. ___.talL__ .___ <br />.___. ___.Numbrrofpersnnsin(amil�. <br />.--_..___.Number nf rooms in 6uilJiug _///� Q <br />'1'he premises are lu bc used as a_ __: /�� _ GLu , <br />_�tr'_1c._. .I __.__.. <br />I'hco�cnernllhepremisesis._..___ /' �� �� ��� <br />.._____......_ ___._____. <br />"'__'_ <br />"1'hcagentis.'_"'_' ___"_"'_"'_"" . � <br />7'his application. alihough signed, shall nut be bindiu�; upnn the Cily, until ao <br />cepled by "Phe Suprrinlenclent o( Ihe 1Pnter Departinent. <br />SiRncd��":���•��cti._W!!Af(. _.Applicant <br />__ . <br />Ai'.rplyd. '�j_'_Z'�'."_'191L. Ry. /��.��..�.�y�'��J� /J� <br />/ __� � �•rlmm�Cem�.� <br />