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E���+-�C..t1- '�.. -�^, �; .-_t.,t, �i i . 1 (:,�y i <br /> . . , <br /> w.n,eo�m�-�cuo-s.r.co.-s.:s-sa <br /> City o£,Eve �tt--�Iater Department <br /> APPLICATION FO�Z W�TER <br /> All blanks must bc filled in or crossed ut - <br /> �:,��,��t................................._3�.7_..._..................,�2.7.. <br /> PO TIiE SUPERINT�NDENT OR TIIE \FATRR DEPAIiTI[ENT: <br /> CITl OF PYCIiCTT: <br /> 1 hereby a;�ply for the use of�cater in accnrdnnce �cilh lhc rnlce nnd icgu- <br /> 1¢lions of the Nater Department, inr pwpo�es nnd fi�:ums stnted bclo�v. <br /> During the lime that nny of the �v�tcr mains mny bc laken up Ly resson <br /> nf nny� impruvements nuthorized by the City of Gccrett, in or of nny atrceL or <br /> nlley in which they may hnvc Ucen la�d, the City will nut Lc required to furnisl� <br /> «:der during the progress of such improvements to nny consumer whose suppl� <br /> may t}ms be cut otf, ur bc liable or any damages tor its fnilure so to do. <br /> Applicntion No.............. � — . <br /> `�.�.:.... 'a __...� � / $ <br /> � i _ _r..._�. <br /> Block....�.._...�....�....../....�' ... Lot/.�.............___.._............ Add......�:�'..��-:.6...1.<�.(..:..�. <br /> No....�Q.o��..._/..(.Q-r:�_-.c�Ar ... . .treet <br /> ._.. .................._..............-_.....................1.��..... <br /> . ......._...................._............... <br /> The work to be caecuted by..._... . .L..:S-�_�-,_......... .Plumber <br /> i <br /> �St te size of tnp. <br /> .�- Tnp to be insrrted in the main. �/ '�_ I C "` <br /> ....�...........R'uler closet 7 ..— <br /> ...I...........Bnth <br /> �-- . <br /> ................ nna <br /> t�- <br /> ................Plain fnucet iueidc <br /> `- --.5idc w�dk ���nsher <br /> ............. <br /> ................Hosc Uib oulsidc <br /> Hose Uib tor buildin ��� <br /> ............... <br /> g pnrposes <br /> .�ose bib inside . <br /> �.-..—......Bib for slablc contnining....................atnll................... <br /> ...............A'umbcr of persans in fnmily <br /> .. . .........Numhcr o[ rooms in buildirg , <br /> Th ^remises nrc to be used as a.e._�./M�-. ...... .. . . . .. .-:._......... <br /> � o�vner of thc prer.iises is....../T.,..S_:C.:..%.��-e��,u f <br /> ngenti9...................................................................................................................... <br /> �plication, althou�h igned, �hall not bc binding upon thc City, until <br /> the Superi�c de of lhe �l'pter Depnct <br /> — � � - <br /> sssned......'..., ,�.._.)._.1�:::L...`..f. .�L:� ....' Ap�n� <br /> ,......�.,...._:... . <br /> ..:e�tc�. �¢ "' ' <br /> 1 . c3i��=�......-_._..1�J2�: By... .. . . . .�.,,. <br /> . . ......................... <br /> i d, -Superintendent <br />