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/-i.���i.,`° i`i,i( <br />e:. n. F�,�„ � isao ;-:-�� c. �. <br />CITY OF EVE►�ETT==1�'ater Department <br />�pplication fmr dVate�' , <br />All Ular.ks nwst be filled ir or��ossed ou[ <br />liverctt. -� C:— �` - � _'191�.,/ _. <br />"_.�f--�-`-_. .____ <br />% <br />'PO THL 9d'YiSR1:.TGNUGK'I' OI''CIIB �VA'fliR UEYAH7Ti??I� i. <br />CI"CY O� G`IL•'RI� P'P: <br />1 h�rebY appiy Grt the use af water in :iccnrdance �cilh the rulrs and regula- <br />tiuns uf "fhe N:rer U�P:�rlm n•t. fnr purp��ses aud listures =tated be:��«'. <br />During tlie time thn[ nnS u( thc w�tcr mains may hc taken �ip bY re�son o( <br />❑n�� imnrovements autiiorized br ihe City nf ficcrolt. in or o( anY strect or alicy in <br />�chich tL^y �nn)' have heen I:�id. Oie Ciry• ��'i'.l not bc required to turnish water durinl, <br />;he prn�;rr.s o( such imprmeiucnts tu :my consumer �chnse supph• m:�y thus Uc ciit <br />nff. or Y.e liable fur �ny d;:nniKes fur its (:iihn�e so to do. <br />�• ;• � " /1 <br />Applicnlinn Nn.'-_,""_'�_"_ '_"_" <br />A!oc}: _ _._ ___._LuL'__"._.�_..._ <br />____-Add...__ ..._.._-__'. <br />__ _ <br />, .2�o f_— / f �-.--' _. _..Str«�t <br />.�,.- - - - - -- ---- '"--- <br />-- -- --- ------ - -- - <br />---- -- <br />_�-��Cheworktal>ecsecuteclbr__.._ . ..._..-._.. ._. PlumUer <br />S[alt syr.r o( lnp. <br />._//L��Cap In be inserted in tl�e ma�:i. <br />_ _ _ �_ __Watcr dusel � . <br />._.. �__Bath r: <br />i <br />_ .. _ _ -Urin:J <br />_______._Plnin iaucet insidc <br />_______Side walk washcr <br />_..'Hasc bib �rutsidc � <br />.______.-.Ilu.;ebib(urbuildingpurpuses -; l� <br />k <br />— i <br />_.____"'Hos-cbibinside � t;�r i <br />___.__'_l3ibfursluble<vntaining______.___�tall_'p.___' �i <br />^' J <br />�Nmnbcr nf Persons in (ainily �•� C 'ti�.. <br />___. �.,��4:` <br />-. _ �-. ___A'umber o( rooms in buildiuq -�;,, � <br />"I'he Premises are tu 6c used as a__. .._... -__"'._'_' ""_. <br />Theowne.ru(Ihcprentiscsis''_'__'.__'___'_"_ -"'_-'_""'__.'__'"_____. <br />"f1�caCentis..___'___ -_.... __._.____. _.__'__._.-. <br />'l'I:is �PDlica�iou, nithou{;h signed, shall nut bc bindinp upon dic City. until ac� <br />rrpt^d b:. The Superimendent�( Ihe Wnter Dcpaµmen�. .., . <br />/ '.� <br />�,�,:! / ,= � n •,i��.��„ <br />Si�;ned t__ �1 r �- -- <br />�j �ti <br />:1a.pted_ /�% . i�� 191 Ry��_�_ __ c. �,r,�c�-..,� _' <br />/ <br />