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"�'.a+u-.l. ��'�- • / f�!.. �c_.�J._q i u- 2 a'..b,C. <br /> 11'.I).h'c:m!- IG00—E.P.Co.-5-26-1d <br /> City of Evexett�Water Depai•tm�nt <br /> APP�ICATION FOR WATER <br /> All blanks must. Le filled in or crossed out � <br /> �verett.........................._......�.�L...'Z...A..............._ID2b. <br /> PO TI3E :UP�RINT1?NDEA`T OP TIll: \C:1T1iR DL'PART:dL\1': <br /> CITY OF F.VEI:I:TT': <br /> I hereby npp!1' tor the use oC�r�ler in :iccord:n�ce «•il6 lhe rtiles and requ- <br /> lutin»s of thc R'�dcr Departntent, for purpo�es and fis'nres s:.^.ted bclo�e. <br /> Dm�ing the time tLnt any of thc wstcr mnins m�p Le tni:en up Up rcnson <br /> of �my imProccments nuthorized by lhe Ciip af Feerctt, in or of n»y sLrcet or <br /> zdlcy in which tUcy mny hnce been liud, the City will not be required to furnisli <br /> �vnter during the p�rogrese ot such impirocements to nnp conFumm• whose supply <br /> may thus be ��ut off, or 6c IinLlc for auy damagci for its fnilure so to do. <br /> Applicntian No.._._g...��....73.._....._ C j •. � <br /> Block......................._....... .._ Lot............... .. ...__.....__.. Add.. ._..f '. '._ _'.� ._.... .. <br /> No......./..0..2_.D........_ '..�....4...'G.:�.y..'�'...�.!' �-qStrect <br /> ...._ _......._.. . ....._._.._.._.............................._........_...._._.._...... .. . . ._.. . . _._.... ......_...... <br /> 1'!ie �eork to be executed by................_._. _. ..__ .__... ... ._ __. _....FlumLer <br /> . i <br /> Stnte eizc i�t tap. J � <br /> ��..�.�.. .Tnp to Ue inscr.ed in lhc nmin, �� <br /> L� <br /> ......�........\1'nter claset \ <br /> ...._�........Bn[l� ` . <br /> ..._...........Urimd \�� <br /> ..._�r..-....Pinin faucet iusidc � �� <br /> ......—......Sidc �vnik �cnshcr . . .� ' ' <br /> ._._�.-...liu�c biL outside '� - ��.. •.. ��� �. i <br /> ...�......_IIose biU for 6uilding pnrposes �'�:; :`� �, T `' 'y :' � <br /> )'; <br /> ..�..-....Ilosc bib inside '. , . <br /> ......—�.....Bib for stnLlc contnining....................atall............ . <br /> f'._I <br /> ......—......Tumber of persons in family � <br /> .....�.....Number at rooms in builJing • <br /> T�. ,�remie^s nre to be used ns n.._._. . _ _..._ _. ..................... <br /> o�•vncr of the preriises is. .. _.. � .f! . . <br /> ��ZGL.�: L �-�� <br /> :ifienl�. is.............................._...........__................................_........._.......................... <br /> �pplicntion, nithou h signed, ;Lnil not bc binding npon 'he City, until <br /> Ly thc Superi t en � e R'ule � enk � <br /> i �� <br /> Signed.. .:.. ........_...__. ............._e........._. .'.L.�.f ��}iplicant / <br /> �/ �............. , <br /> 1..... /.P...- .��...7.........1�J2�r. 5;;._� � ' • <br /> L�Y _ . ._.....__............../ <br /> � ! - �Superintenclent <br />