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-. .. . _ _ � i , 1 � . . <br />.. _ ...` i. - i-i "r �_; � ' _ . <br />1 ' <br />W. D. Fmm t 1500 J-I-17C. P. <br />CITY OF CVERETT==Water Department <br />Application for �ater <br />All blanks nu�st be filicd in or crocveJ uul <br />� <br />Pccrett.'__.____"_ _"�. '__ 1t.�191/��_ <br />'I'U 'PIIG BUPIiRiN"I'Ii�Jii\'1' OP'fI1G \VA'1'IiR. .'AR7'MCI�7', <br />Cll'1' OP 1iVL•'RF:7'T: <br />I hereby apply (nr the use nf anter in accnrdance with thc rules and regula� <br />tinns of The 1Vater Depnrlm �nt. fnr purpuses :mJ fixtures slalcd bcluw. <br />DarinK the lime Ihat acy of the waler mnine may be �aken up bY reason n( <br />:m>' imprnvemenls auU�,�rize<I by tl�e Cily af Erercl�. iu nr o( any atrcet or �Ilry in <br />�rhich they may nave bcen laid. thc City n•ill not hc required ta turnish water .lurinp <br />the pragress o( eud� improvrments In any consumcr whocc supply may thus Lc eu� <br />nlf, ur bc Iiible for nnY�r7la�m/agrs fnr its Liilure so to do. <br />Applic tionNo.__l_7 I//� <br />.. ___.__. __. . <br />L/ �/1 m6 <br />Ifloc.. -�7'�'_--_Lol./��7/J_��y.Add. _..�..___/l9C�'v"/� � <br />\��. �l 3 �-� ��S t�-A-�..Street <br />--- — ---. _ -- -- - — — -- ------ ---- <br />"I'hewnrklnbeeseculedby____.._._'__.__ _...____.,_"._______, plumber <br />� � � <br />State size uf tap. , f.'�(Cyf'._.. O o <br />... �J'�_"_Tnp �n be in�erted in thr ntain. . " � � ' �� �- <br />� �y�>"� /OiI <br />._ �--'15'atrrrinset . / ,��, �. .. <br />f. : �. . <br />'__'�'__.Bath .: . .� <br />_ _...-- .Urinal . � <br />'____'Plain (aucel insiJc ' ', •� � _(�) <br />_____Sidevalkwashcr `+� �� <br />.___ '`�,:: •.. r <br />._."""_llusc bib nuisidc . . . . . <br />"__..Ilosc hib (nr huildin¢ Vorpaces '... <br />. ...'__'Ilose Li6 insidc <br />__"___"'RibforstaLlccontainin�.__' '_"__.stall.._ . ."' <br />_._... ___Numbcr n( persnns in family. <br />_'�"_'Number of ruums in buildiug <br />'1'hepremisesarelobeuscdasa .............'_....._....... _.._ "' _..... <br />"1'hc u•a�ncr ul Ihc premises is "_.'. ._""'_ _. .. . .. _. _. _ <br />'�IIe01:e11[is ""'__ ..... .'."'_"'_""_ <br />.__ .._. '_ ___________ _______'"___ <br />'his ,��:ic,ii��n. :�m,<,u�;h �ignrd, shali not 6r 6indinK ������� thc Cil>'. imtil ac- <br />I by The Supennicnden of lhe 'nler I� pa�tn L . <br />/ <br />Signcd r" . .-• _�'4t�T)�:__ "_"Applirant <br />_'_ . <br />ccpted. �' __'_' __'_1 Rc_'__. _' '/'- -. . _""_.__ <br />�'" _ � `,� -� / � s�n m�nr.cn <br />/ ,�=�;� <br />