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�/IT9 /o—n— v3 [: r-r�,—� <br />� , v_ : .r ..�9- i . <br />R�. D. F'orm � ISEO J-I-i: C. P. <br />CITY OF CVERETT==Water Department <br />Application for W�ter <br />NI Llanks must bc liid in ar tros.cd �ul <br />/ ' --5 <br />' _ /� � "? <br />c� ' �/� �'� <br />IZ��crrll. ___ ' i_�'___ '___.. _ --- ...195._ _ <br />'P�l THIi SUPI?RINTENDIiN"I' OP THIf�1'AT'E12 DIiPARTM1iKT. <br />l;I"1'1' nl� 1 `JERI:7'T: <br />1 hereby apply L�r ihe u:: n( q�aler in acrnrdancr �rith Ihe niles and re�;ula� <br />1i m� of'I'h> lV.ucr Urpartment. fnr pnrpnses and fixlures ��ated bclmc. <br />Uurin�; Ihc timc ihal any uf thc watcr mains may be Inkcn up by rcasnn of <br />:my .mpruveinentv- �ulhnrizeA br the City u( Evrrcll, in or n( an}' slrcei or allcy in <br />whiet they m�1' havc bren Inid, ihe Citv �cill not bv required tu lumish water during <br />ihe pr,��;rrss n( snch imPrnvemenis ln any ennsumer whori yi�pply ma; �hus be cut <br />n(f. ur be 1in61c (nr ane da•nages ur LLs (ailure so to do. <br />i p/ <br />Appl icxi inn Yu.. � 4_, <br />_ _' <br />Iiluck ind5..' __Lnt•�_' _"_Add_'_'_ <br />�7 I �___.__ . ______.__. <br />\o._c�.� D �i �/,( t�'�'c"�C .Strcrt <br />___ _. _. ____ <br />".'_____ ___._._. <br />.__. ___ . ____/_. . ___._._ <br />" _ .__....________ ..___..__.__. . <br />'fhe wu�k �n bc rxeculed U}'. . �— . - �- - - - - Plumber <br />. __ .___"_" ____._____'__.__ <br />Slalc -ze uflap. <br />�?-�..'fap to br inserizd in Ihc main. �7 �� � <br />.. .. � 1Va�cr closet '�_�—rJ -- <br />__.. �. Hath "�i <br />.. . _ .Urin�l � <br />. -' -' � _ _ Plain laucet inside <br />..__.__.tiidc walk �cashcr <br />- . . . i_ Ifoao bib omsidc /� � <br />. .--. _ Hnsebib(urbuildinKVw'pnscs t .•; <br />___..-Hnsc bib iuvidc � <br />___._ ...I3ibfnretabiccoutainin� . . ___... stnll__._ _ _'...�� <br />. �' ___Numbrr of persuns in f:miily ���� <br />._ 4�_'_'Numbcr of rooms in buildin� /� <br />'1'he premise. are to bc used as � _ . � � .t.�_r . ,_� . _. <br />"" ������,��� <br />_ ..____ __ . .� :; <br />Thr mancr uf U�e premi�es is ._"_ �� �'�'4/ ^� """"-t/ v�..�..� <br />"_.. .'_"'_'__ _ ' ____ <br />'Phcagcnlis "_' ... ... ............ - <br />.._. _..__...__'_______..._.._ <br />''his appli:nlion. although signed, sltall cot be binding upon the Ciq•, until ac. <br />br "I'he Superintendent n( �he 1Vnter Uepanmrnt. <br />SiR�ted _ _ _'�_2.: ZY/.<-_ �''L%��.G(/1�%�G �llApPli�'nnt <br />j� . { <br />Accrpted __ _ . '_191 Ry__/,�.�Y:�+-�� � ;i� <br />_.._.___ �f-�/, �>.':�""`sn:n;-reni�n <br />