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� �1..� .��- . . <br />1\'. D. porm 1—ISOC—RIICo.— ;.:G:! <br />City of Evei�ett�Watei� Depni�tment <br />, <br />APPLICATI:ON F01Z �TATER <br />All olnnks mt�st bo til7ed in or crossed out <br />tsccrctt....... ......_.._............�. �.. ..................1D2_� <br />1'O T7.I��liItII�;TGNDGNT Q@' Tltl? \F,1TPR llEPART31GIc'C: <br />+� CITY 0[' liVII,liTT: <br />I M1Y�by nnp)y Cnr thc u�c of �c;ilcr in ;iccord;mce n•ith Lhc rutes �md Yrgu- <br />Intions of the 1Patcr Depnrtmenl, for purposes mid fi�huros stnted Lclon�. <br />lluring the time that :my uC Ll,a �cater mains mny be laken np Lp rensun <br />o( nny itnprovemcnts authariud Uy the Citg o[ F,verctt, in or of uny street or <br />ulley in which thep may ]wve Lecn lnid, ihe City will noC bc required to furnixh <br />watcr duriny Lhc piagress of such improv�ments to nny consumer whosc supply <br />mny lhus be cul uCt, or Ue liable for :mp dmm�ges for its tnilurc so lo dn. <br />Application No.......�,./r. � � �2yy <br />........... , <br />Ulock............................_�.._...�... Lot.. ...�...._. ....._... Add...._:.... .�. <br />. .. _ .. _.... .. .. <br />,�. �y�.y...�._-a.-�.�.._ .....s�T��t <br />... <br />_ _.. ...__ ... ...........__.................__..... ...... . _ __ _.... <br />The work lo Ue executed bY-..-./..� -�_ ...:� :_....��._........___._...PlumLer <br />Stnte size at tnP. �y �.-��f..1 . , : <br />... /.e�,.�} . . <br />.� Z Tnp to Le inserted iu thc mnin. �,' n �'� ;;.' <br />. �........ <br />...../........R9rter closet CITy )F rT 1 ]f7 ;� � . <br />.._�.. ....BnH� , . CVf�7fi7 � � - . <br />..._. _ � kar�: <br />.._--.........Urinal �...�. <br />.....�1.._...Plain fnucet i�.sidc � . <br />.......:.......Side wnik tsasUcr <br />..._./.........Ilose bib oulsidc � <br />.._...._.......Husc Uib for huilding pm�posi�s <br />................IIose bib insidc <br />.....::._......Aib for st.nblc contnining.........._....._.stnl: <br />_.__..... ._... <br />-..-�.._......Numbcr of persons in fnmily <br />-2r........ Numbcr of rooms ro bmlding <br />The prenuses nre to be used as u.... � �(.�� <br />. �/ ....._ ..._._... <br />'6e a�vner of the premises ts. _... � ../`f�e_..,L/ G.�:�....�. <br />����e ngent is .................._.............................._........_...._.._......_..._........_. <br />. .......�.. <br />�pP��cation, nithough signed, ;hnll mt Uc binding upon thc City, until <br />'��: thc Superintendcnt at thc Nntcr Depnrtment. <br />. M1 .� � .� b J�J <br />�•igned.::r ::............r....:..........:....... • �'� � rvGL . -APFl�cant <br />_........._.. _... _...... . <br />// - . _ ..�...../..y.. _ .. . <br />�-..!.:� .....:........1024.. By...._K�.�L?�Y,E........:,//._.lq� . <br />� . . .� ............... <br />� Su nntendent <br />