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: ,�.. _ - _ _ - � • :�'" `I� :�--�- ��� r��'i; <br />\4. D. Farm 4 15G0 J-617 G. P. <br />GITV OF Ci'ERETT==Water Department <br />Agplica�.ior� fop �%�' a�er <br />All blanks :nu�sl be filled in �r crosxd oct <br />Cverett.- ._____ p�-/.C�_�_�__19��. <br />.___ ---i'- .-� .' _. <br />'f0 "CHF. SUPI3RIN'PGNDIiNI' OI'CS' OF G`II HB7IT'.P:i!'!'NGF C. <br />f hereb9 applY far ihe use ul watrr in accardanee «'i[h the rules aed reFul:. <br />tiuns �d'1'he W:�[er D<par[menL (��r purp��ses and �istures �..[atecl balnw. rcason oi <br />Uuring tl�c time tha: any of tlic Vr: f�6vcretL in ar'o( t�rtynsvicet �rt �Iley in <br />any impruvements authonzee. by the Cit. <br />which IheY �»��Y' have been laid. [i�.e Citc «'ill no: be req:�ired �u fumish wattr during <br />ihe prngress nf such improveinenta la :my tt�nsmner wLo::e supply mr�>' thus he cut <br />nff, or bc li:iblc fnr :mY� �7��'1'��s ( r i;s (ailure so to do. <br />AVPlicntinn No. _` /. �_ .��- _ _ . _ _ <br />'._; _\dd__ _'_ ..._"'_' <br />Bluck .- -- �-] ---.Lnt--/---(--//�f �- <br />`O.._.�-S__�'-�-.-�/-.S�l..�_""_.__'_ .S�(CCl <br />...__.""" __ <br />.__..____"_"".____ <br />__ <br />.. <br />_".____..."__-_ . " <br />'fhe wntk to bc cxrcutid 63'. . - . _ -_ ___"_" ' .. . .. . . ... . . . . <br />P um cr <br />si,i� s � ��t i,n. � <br />�� _Tap to be inserted in [he main. ii / o 0 <br />__�___�.__\Yaterdoset � ! � — <br />___ �__l3ath � <br />- Urinal / <br />_ _ . _Plain [aucet insidc / <br />__Side wnl}; washcr <br />l <br />_ ..._....Hose bib uu�side /. <br />__.___._ liosr bib for6uildin{� purp��ses /� <br />_._.____.-Hose bib in�ide • <br />__"______I3ibtnrstablecoutaininK�--------stdL_.- --' <br />_ ___ _. __.. Num6cr at persuns in (ainil�. <br />__/,�_'_Number nf rooms in building • <br />/t����� -- <br />-�- <br />-- <br />Thc prcmiscs aro to bc usc :�s a_---� �"- , <br />� ��.���'- <br />_ - ----- <br />'Phe na�ner u( the premises is _. _--.=.e.- <br />/' . _ _.._'__.__.. <br />'PheaFentis_--'---�-- �------------ �-- --------.' <br />"Phis ::pplia�tinn. althcuKh signed, shall nol bc Uinding upnn [hr City, until ac- <br />� by The Superinlendent �( the �Ynler Ue vlmenyt.�7 � <br />/-`� -'�i���---��- -------Applicant <br />ji <br />Signed X__— -`- �J � <br />'i' �;Y <br />_ <br />_ "_ <br />. �.-'-"--' ""�—'- - "�"Suterintenrem <br />� / ` � � <br />� <br />