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i <br /> 7f. LFti , . �i. � - , ' , i._ . .. � . _., <br /> � �:,. n r<<- . i suo a-i-r,c._. - . <br /> CITY OF �`�ERETT==1�Vater �cpartmt«i <br /> Ap}ali�catic�n fior Water <br /> All blanks must bc fillcJ in nr crosecd out <br /> _— <br /> -- � -} � <br /> Iiccreit. ._. ' __'_."._...__�. �. .. ._ . . IYT�_ �_. <br /> TU 7'l1E SUI'IiRINT6NUIiR'1'OP'1'Hli 15'A'fGR UIiPANT!111[K9'. <br /> CI'1'P OP li`JISRGI'T: <br /> 1 hereb>'apply fnr tlte use n(�cater in atcnrLance ailh ihc ndcs nnd relNla� <br /> tinns uf The Wrter Ueparfnt�nt. for purP��•'�'s ;md fixtures staled belrnc. <br /> Uurin4 the�imr ILaI :m��oi �he���aler mains mnr be taAen uo bg rr.��m af <br /> :mg iinprnvemenls authnrized bc the City of Everclt,in ur of any streel ��r allrc in <br /> �vhi<h they mn)' have bcen lai,l. thc Cil>' uill no:bc requircd lo furmsh u�afrr dw'in�• <br /> the prntiress n(such impruvemenls ln any rnnsuntrr �chn.• .upply may L .s be<�ut <br /> ��II.or bc liab:e(nr any dama;�cs (nr it: f:�i�urr vo ln dn. <br /> Applirnlinn No."_'�'�/�� <br /> T'_"-_' <br /> ni„��; — �lZ_ _ _�„�.__1�-_�—'/__ ,aa_ <br /> /� / � � ^y--� —_ ----- <br /> �n..--v�.�..e�-�_. W_e.�.l-l.,Lo-n�'.. slrecl - <br /> .. .... ...... .."__ . '__"'_". _ .. . <br /> r� _- - --- -- <br /> -- <br /> -- <br /> 'fhe �rork lo I�e eseaited b}'_ .____� "_'___._ Plumber <br /> __ ' <br /> titate sizc n(tap. <br /> 3,y_"Tap�u be inserted in lhe main. <br /> . �_..__R'alcr dnsel <br /> ._.(_. ....13a1h . <br /> .. _ . .Urinal / . ` . <br /> _.. __ _Plnin (aucet inside � . / � 7�� ��. �` . <br /> -_ .___Side u�nik u�as6cr � � �` - <br /> _ _. . ._Ilusc bib uutsidc ' l ,I�.1 i`. , � �.�)'I� i . <br /> 1 <br /> _'_" __Ilosebib (nrbuilJingpurpnccs�`t �nf �� � �a, �' <br /> ._._'_"'Havc bi6 inside \;� -rK?";'i' ;' • <br /> .-"'_.__.Ifibforsiablecontainin�;_. _._...�`stail-.,. .'..__ �,'. .; <br /> _ Numbcr nf pers�„ns in family <br /> - ��.,-_Numbcr of rooms in building <br /> Thc pfemici•ti�re ln bc used as a .___. _ _ "_'_ <br /> . .__ '.'. .____'_'_'. '_ ____'. <br /> - "Phe awncr uf lhc prentices is _"'. ._"' '_ _ <br /> - _"__'___..._. <br /> "'___ <br /> Thca�entis '__" <br /> ._. _. . "____'___ " <br /> fhis applicaliuu, allhnugh signeA.sl�all nul 6c binding u���i,i Ihe Cily. until ac. ' <br /> •uted by'fhe Superin�endenl u 4'yyr Uc a mcnl. <br /> / <br /> Signed_- O �/� <br /> . . - .. . ,.__ .__.___._ pPlicont <br /> i , � � <br /> Atnn:ed ��- �� 1�/ 8e . <br /> ____ . 19 �Q�C(�v <br /> / / J� u.�rir¢n�em " <br /> �_/ <br /> � f <br />