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tA'i O-7-i.�- � �:_ � ,v� ��i'7-l'9^�3-'�_� <br />w. o. Fo�m � isoo a-i-iv c. r. . <br />CITY OF Ei'ERETT�=Water Department <br />Application for Water <br />All blanks must bc fillcd in or crussed out <br />Eccrelt.._...'.__.__' ____'_��/�3.__.191._'__ <br />'I'O THI4 SUPIiRINTF.NUEN'P OF 1'Hh' 1VATER UEPARTMENT, <br />CI7'1' OF i:VGRETT: <br />I hereby apPly fnr the use of �cater in accordmice wi�h �he ndrs and regula- <br />tiuns of The Waler Dzparuiunt, for purpnses and fixtures statcd bclow. <br />Uurin�; thc time that any nf the w:uer mains map be taken up by reasan nf <br />nny imprnvrnicnts nuthnrized bp thr City u( Iirerett. in ur of an>' strec: �rc nllcy in <br />which tliey may have bcen laid, �he City aill not bc rcquired lo lurnish wnter dnring <br />ihi• pragres� of such imp-nvements tn Tuy concumer ahnse sapph� may ihus be cul <br />nfL or bc liablc tor any domaµes for ils tailure so tu do. <br />Applicntinn Nn._" I 7 � � <br />Bbick -____:'__' ._. Lm'_.r_ _'_.__'.""c"-'.Add� .____._...._____ <br />�a�/-Z_SL_ _���Ku:oi7L-_-'----..strc�i <br />- - - --- - - --/J -- - - -- - ----- - -- <br />� � �,f he ���ark lo be executed br _ . _ _ . _ �aLe _�rew�-.... _ . _ _ ... ---- -. -" Plumber <br />Stat�zc nf tap. � <br />��__'I'ap tn Ire inser�ed in the main. <br />� — ��eo <br />_"" _'Na�crdnut <br />._._'�._l4ath ' �-(lC <br />-._x .u���„i <br />� �� u7�' <br />. _..,i..Plain (aucet inside <br />. __-LS__Sidewalkwashcr fs . <br />____._�.._Husebibuinside �L��� - <br />_._ -�___Hosc biU forbuildinK Purpnurs :. F, . <br />i� <br />____x___Hasebibinsidc �•, r.,.- � . <br />..".�a7.__I3ib(nrsL�blecontaining_.__�.._stallr'__._..__��.� ' .. <br />_._' /�"'Numbcrnf perwms in fnmil�. <br />.. __q�_.Numher uf roams in buildinµ 7 <br />'Phc premises arc to be uxd a� a _�-�-F:_ <br />-._. ._ -'..___ .__' <br />"""_" <br />Theo�rnero(lhepremisesis __���ee..-,._. _�..____._.__. <br />7'heaKentis."""'_'....."""'--'__'_ "_""_ ""'_"'____"""" <br />This application. nithougl� sip�ed. shall nut be bindinF upon ihe City. unlil a� . <br />by The Superinlendent uf Ihc 1Vnler Ucpartmenl. <br />Signed;t-=�f--- --`-`'_�5'�`-^-'-�-vn'. ._____-Appl �, <br />lccrpicd.__ -____'_`f_.___191 1(// /\7— / <br />_______.__.._'__'_-' <br />Iy /� � _ 5nom�m���. ! <br />/ V <br />