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E/Ytv—�=y—. yN. , <br />'d'. C�. Frtm � I500 3-1-1 ] Q P. <br />C!T'1' OF E!'ERET�'==Water Department <br />Ap�plicatiora f.;� W�ter <br />:\II blanks must filled in or ao �w1 �., t <br />� � i1�'' '��� <br />— <br />�:,��; �.- - ' - - -- - �si ' - <br />"I��� "fllli SUPIiRI\"PH\UfiS"f OP'PI1E R'A'1'IiR UfiPAR7'\1E\T. <br />CI'1'1' OF I:YECF,TT: <br />1 herebr app!y Inr Ihe use u( ���aler in accnrdance �eith the rules and regula� <br />i: c„ ,�� The 1Vater Uep,�rbnmt, fnr P�trnn?es :md fi�tives stated 6rlmc. <br />UuriuG lhe Gme Ihat :my o( tiir �v�ter ntains mny he takcn up by reason u( <br />:�ny i�unr„eements autlioriecd by � iv Ci-p of livcrett. in nr of any stt:rl ur allcp in <br />:��hicn they innc have Ueeu L::.� ��� � Cit�� w�ill nm be rrquireA Iu (urnich x'ater dwinl; <br />� ne progr•.ss nf auch imProvrmenls tn any ;-nnsumer �chase .uPPly may Ihus he rut <br />��i( or he Iiable fnr an5' d.�.nr�qes (or its (nilure su to dn. <br />: �. <br />Applicntion No."'/ �J.�' �"_" <br />Bluck _.____'� � _ .' _. Lot_ ___... _ ._.Add. . <br />„ � <br />'__.__ _ . . ...___ . __ <br /><._,.s�.fl?_2_-_ �—t---'c.o-✓�v ---su�•�� <br />_ ---- ------- -- — -- --- --- -- ------ <br />'I'L,. �vurk In bc eseniled by . . _""' "' __' '. _. _ . _ . _ _' . . _ _ _ . _ . "' Plumbe� <br />S�a�le/ ,5 izr u( lap. <br />' C..!� _9'ap In 6c inserled in lhe main. �� l. � U .,Q_Q _j. <br />�J ' v `(I <br />� _Waterciaset 1} -- <br />.___' � _Bath . V <br />. .. _ _ 1�rin;] <br />__'.. _Plni� .`aucctinsidr <br />_"_"Sido �ralA �ri>her <br />. _' _""'"Hnse bib uut=iJr <br />"' "'_"llosc bih fur huiidini: P���'P �.�., \ <br />. ..-----Hasc bib insiac � <br />Y <br />__._'.___I:�b(orslableconliinin�;.._____._. s1all_..__... � <br />'__. Nu;nhcro( prisons in lamily 1, <br />_ _ _ �`_Numbcr of ronms in buildinR . <br />'fhe prentiscs n�c lu Le u<ed as a _".. ..."""""""' ."' _ _ _.. . _ _ _ .. .. <br />l'henwneruf[hcpremicesis _""...."'_ ." '___"_"_____'_'_"_' <br />Theagentis ___..__ ___ ._.'___.__ <br />"I'hi� :�pplication. aithough siµred, shall not bc bindinq upon ihc City, unlil a�� <br />;epted li-'Pho Superimendent �( �h � 1'n r{le a n . <br />�- i <br />Sq.nrd ..._.. _ _.1... <� . _. .. iPPlican� <br />Arr��,trd y_' _�/ ,,,�]I� � �y �.� . . _� <br />