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f... � -v ir -r � � F�� � ii . � �` �r <br /> W. �. Fcrm� �soo a-�-n c.r. <br /> CITY QF CVERETT==Water Department <br /> Applica.tion for Water <br /> All bl:.nks musl be filled in or crossed nut <br /> Everrtq_. '. __. ..,/./��_._.___.19lL_�._ <br /> "f0 THF SUPrRINI'IiNUIi1'I'nl''I'l1li 1VA7'IiR DISPAHTMI?NT, <br /> CI"I'Y OP li!'EREI'T: <br /> I hereby applY f��r Ihc us'c of o�atrr in :�ttordance e�itli Ihe rulcs and regula� <br /> tinns�d'1'he lValer D;P��r(m:nt. (nr vurpnses ai.d �islures statcd belo�v. <br /> UurinK lhr time Ihat any n( Ihv walrr mains mnr 6e Inken uP bY rrnson of <br /> :ut)' im�vuvemenls aulhnrized b}� ihe Citv uf Evrictt,in ia o( any strcet ��r :�ILry' In <br /> ���liich they may have been laid. the Cih�wiil nnt be required �o(urnish water during <br /> Ihe Prngress' n(such improvemrnls In any ronsunter w�huci• supply may�hus be cul <br /> nfi,or bc IiaMc tor any dam��K�+f�r its (aiWro so tu do. <br /> APplicntianNu.'__--l-���_-�. <br /> �ai„�k —zn -- _,i �.���.-LS1--�� 9- — —..n�ia ._ — — <br /> \u.__.2.b.Q ��_V.1..t�-_.IL-.Q-4-'�-R..$trcet <br /> ..__.. ... __.. _"'_' ' ___'_"_"__'_'_"_'__"'_"""""____'_'_' <br /> 'fhe�cnrA In be r�ecuted 61' .���_�'G.`r.4.yL.."----.—' Plumber <br /> Slate cize of�ap. <br /> ,�""Tnp la be innrrled in lhe maia l S � o <br /> �r • <br /> _-�'_'_lV:�tcrdo.et � �� <br /> 2 <br /> .__�..__Ilath ' <br /> _... ___ .Urinal <br /> "'..__Plnin lnuret insidc . <br /> . _____Sidc x�alk �aasher ' � <br /> __.. _._._Hnsc 6ib outside <br /> '_'_'___.Hosc bib (or building nurposes � ' <br /> _'_____.._Has:bib insidc . � <br /> � i � <br /> ._"""_'Bibfurs�ablecontamine._'_...-_stall__ _"' . • :,'.. - <br /> � .. . J1„ <br /> ' '___.__'Numhcr nf persuns in fnmily . . .'. . .. <br /> ..d �--Num6cr o!moms in 6uilding ' . .. . <br /> 'I�hepremisc,nrctu6eusrJnsa ._.. -_'_____..._..__.__.""""_'_"' <br /> - TheuwnernfthePrcmisesis "'_"_--_"'... . . ...-_--___""_""__' <br /> ThcnRent is ----'-'- '--"---'--'------- '---... .-------"'-------- <br /> This :ipplicnlion.ahhuu�;h signed,shall not be Linding upnn lhe Cit)', i ' �c. <br /> ' Irv Thc Superinlenden}^(d Ihe N'Qt�`r Uep:u�menl. / <br /> kSlgncJ_�_,�7�7�_JvL�iG`.P!T/1'�2�`�_-------�� ��. .art <br /> i/� � <br /> .pled // / <br /> ..,� __. __. �]�, � _ .. _ _ __._ '___'___. <br /> — '�— +�/ ���r.rinrerm <br />