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—' r - <br /> Y�--- -. -,- • � �i .r:<.�,t..� .� / S. ... . -i <br /> ql 1>.Fnr�n J IGun—E.P.Co.G 96.z1 <br /> City of Evei�ett�W�►ter Dep�i�tment <br /> f'�PPLICATION FOR W�TER <br /> All hl:m:cs mnst Ue filled in or cwssed out <br /> r.verett�........ _...___..L/...� .. ..�.Z.......192� <br /> 1'0 TI3L SUPliRID'TL•'NUPNT Oh' Tll: AV:.TP:R ll7�.P�tEN'C: <br /> CITT OR :iVEI:rTT: <br /> I IiereLy npp�� for lhe use ut water in nccord�uce�:�ith the rules and regu- <br /> Intions o[ lhe R'a��r Depnrtment, for purposes :md fi�'.ures statcd Lclo�c. <br /> llming the limc t!:nt nny u( the �r:�ler r.iuins m:q� be lukcu uP �}' renxon <br /> of :ml' improecmcnts authorized by thc City o:' Even.t, in ar nf ��.np xLrect or <br /> nlle}� in �vhidi theg map hnce l�een Inid, the Citp will nut bc requirrd to furnieU <br /> �:nter durin�; the Progress uf sueh improcements tn nny cm�sumer �vhose supply. <br /> m:�y tlins bc cut uff, or Uc linble for :mY damngc� t�its failutc so to do. <br /> Applicntiar. No...�I�� ��� —7�{-/S <br /> I31ocA .. _._ ..:...1.. Lot �}y'..... . .___. Add... _..._. ..... . . .._ . .. <br /> xo._. ..� S�3u �',�ccrl��_ ...sc«�c <br /> _. . __..... ..___........ ._.._....................__............... ......_ _ _ __............_......... _. <br /> � <br /> Tlm �cork to be esecuted by.___._;,,�{�,,,G -L(.-�L.........PlumUer <br /> J �. n G U. <br /> Stnt sixe of tnp. G"/� �� j'.J �- R�•-�'"'w' <br /> ��/ � l l l� <br /> �.:.._Tap tu bc inserted m the min. .� /� <br /> ._.�......Nn:cr closet <br /> .....,........Bnth " . .� , <br /> .___'-.....Uri;ml � . . . . .. <br /> � ___.__ .... <br /> .....2..._..Plnin fnucet insidc <br /> _..�...._Sidc �cnik �enshcr <br /> .._.l_......Ilosc biL outside <br /> ..._-.......I9osc Uib for buiiding P;��Tnsrs <br /> ....—......IIosc Lib insidc <br /> ......-_.._.11ib far stablc containing................._stall...._._.. ........ <br /> ......._�.-.Numbcr of persons in fmuily <br /> . �`.�.......Numbcr of rooms m building <br /> The Premises ure to 6c used as a._ ...� � ,_._.. J __..___.. <br /> The owner of t6c premises is. �/���•.< �-! �.G�i L l ,;,,` `�.-.c... <br /> 'Phc nCent is...... .......__......_.__..........__._............__.__..._ _...___.._........................ <br /> 19ii� npplicaticn. nitLough �igned, ahnll not Le biuding upon the City, until <br /> i <br /> �optad by the Superintendent of t � �Vater Depn 'm��, t_. f� <br /> Si6neJ.... ..._..... /.�v v..-..........-. pplican <br /> . � � , � <br /> :�a�=/2._-_.__..._�:�3v n�..�.r�r .`� <br /> Sup i �dent <br />