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`°'u-�zY q-cf�3o -lf , _. - <br /> ._. _ .?f !- � <br /> {tl.I1.I'nnn 4-L;i3O-Ii.P.Cn.-,5^G 2J <br /> City of F verett--�Water Department <br /> APPLICATION F�OR WATER <br /> � All Ulnnl:s must Ue filled in or crossed out <br /> EverMt.....................__ . �.�...._..102...._ � <br /> TO TIIE SUPli]{INTGNllF.N'C OF THE � `[;It DCPARTiliCNT: <br /> . CITY OF L �RIiTT: <br /> I hereby app13' for tUc tre uf �cater in accordance with the rnle=. and 1'rgu- <br /> Illtions of thc �Vater Dept�rtment, for pm�poses nnd fix'ures stnted bclotr. <br /> Durin� the time thnt :my of the water m�ins may Ue taken up Ly rcason <br /> of anp impruacnicnts authorized Uy the City of fiverett, in or of nny strcet ar <br /> alley in which lhey m;�y hnve Ucen laid, the CiCy tvill not bc requirnd to furnish <br /> water durin� LLe progress of snch improveme�ds to nny consumer whose supply <br /> m:�y Llms Ue cut off, or be liable for any damnges for its fnilure so to do. <br /> APplicnlion No..._�.�.�..O.J�............ �y O Q , <br /> .; ., O � <br /> I31uck........._......i-..'�..F,i. ..._.. Lot.._.f.�..7......._ _.__....__. Add... ...... ._ .. . ... . .__. <br /> No.._.._...��� .�.�.../...... ...�f-._�.........._$trect <br /> ..._._ ........__........._........._......_.................._..._............................. . _.._. __._.. _.........._. '. <br /> 'Plic work to be executed UY..--......-.. . _. _. _._ . ... . .. . .__. .. ......Plumber <br /> $tate aize of tnp. ��1 �-/� �-`��� ( � <br /> ..��Z._...Tap to be inscnc�l `n thc mnin. <br /> ................R'nter closet <br /> ................B a t I i <br /> __............U r i n a I <br /> ................Plain fai,cet insidc <br /> ................Side walk trasher <br /> ..._...........IIose bib outsidc <br /> ._.............Hose bib for building purposes '.. <br /> ................IIose biU inside 'C <br /> ...............Bib for staUle containing............._....s[all............._. <br /> ................A'umUcr uf persons in family � <br /> ......._.......NumUcr of romus in building �./� <br /> The prmnises arc to be used a? n__. . %'�.��• <br /> , __..; - _ .. . .... .... <br /> : ��� <br /> 1'lie o�a�ner of the prer.iises is. L,(._..� �`rj1fL� � � <br /> ___ <br /> Thengent is.............�......._......................................................................................... <br /> Tliis application, zilthough signed, shall not be binding upon the City, unti] <br /> ncce;�ted by the Superintendcnt of tl�c Nat Depnrtment <br /> Signed.'✓._�i...,._..�.. ..�....._ !�.',:�...............Applicnnt <br /> /� � i <br /> :lccerr�d..�>.�t......t�O1�J?.__. By... ._...Ar3ePi.f=—„/�G'.,L/f�'s'...... <br /> � (-SuPi�rin� ent <br />