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_ _ _ , ._..-, �_--z�. . - . . <br />W.•U.Fnrm�`-IG00—E.I'.Co.-6-:G�24 ' � . � <br />City of Evei�ett�Water Department <br />APPLI�ATION FOR WATER <br />All Ulanks must Ue filled in or crossed out <br />Geerett.................... .../.....:.C..'......_�.-...................192..0.. <br />TO TIiE SUP�RINTLNDIiNT OP TIiE \\':�TI;R DI:PAIi1'.IiCVT: <br />CITY OP �VliI:IsTT: <br />I LereLy upply for t6e use of �vater in accordance with the ivles nnd regu- <br />lations of the �Vuter Depm�tment, tcr purpn;es :md fix!ures stnted bclow. <br />Dm�in� the time that any ot the �vatcr mains mnp Ue tnken up Uy rcasmi <br />of any improvements euthorized by Uie Cit}• of Cverclt, in or oF nny street or <br />allcy in �vhi;h thcy may hnve Uecn lnid, the Cily wi11 not Ue requimd to furnish <br />water durin� tLe progress uf such improvements to miy consumar whose suPP�Y <br />m;�y thus Lc cut of[, or 6(�c liablc for any dumn�*es for its fnilure so to do. <br />APPlicntion No.q...(S.D..�.� ......q........... �27� <br />Ftlock.................�'�...:�'l._....... Lot.......Q...,�f..............___... Add.__......._......._...........__... <br />A'o..... . ._ _ �ft <br />a .S-G..�.. _ ....._�: y .. ...... . ...... . st«�t <br />_ _ _ _ ._ . .. ......................._.. .. ..... . .. ............. _. ........ .... <br />Thc u�ork to be execvted by....._...... _.� ..Z ...... . ......PlumUcr <br />i� i, /� <br />St� sisc of tnp. �� Q ('� �' <br />�..z....Tap to Ue inserted in tl�e un. `✓ <br />_...L......�i�nter closet CITY FF� i 1�7 <br />/........Ba�h ,.. �F ES'edt77 �'Ai'� M <br />..... .. <br />— � . .._ CFP , <br />................Urinnl . _... <br />......... _ <br />......`Z....P!ai� taucct insidc '•� .. . .. <br />__... _...Side n�alk �snshcr <br />......f........I�Iosc bib out=idc <br />.............._Hose bib for building purposes <br />................Ilasc bib insidc <br />................Bib for stnble containing....................stnll.................... <br />................number of persons in fnmily <br />.�......Numbcr of rooms in building <br />e premiaes are to be used ns ❑�.,,,. .... �� �� <br />.... . ..... . ....... <br />.. .mer of the premises i�.._e�.�.. _. .-.. 2' ��:-.;!CC � f - : - . �_`. <br />. ... . ...... . <br />itis ..........................................__.._...._................_... <br />. ............ ........... . . .......... <br />�•atimi, ulthough signed, shnll not Uc Uinding upon t City, until <br />8uperintendent of the Nater Depnrtmcnt. <br />� /' /� � '`n. <br />. � .....................G.......��-�fii.'�'01?!L-... ,..,,�' � .......Appltcs�nt <br />. .. <br />� � � � <br />,� ���/ <br />' ...._..-.-...192 � /. By......�� � .... .� �:�.:...-------_. . <br />