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l w�d b-i6-?G- Ki,r . �.., , . ' , . . . . <br />0: U. F�.:.rni J._1G ;—E.P.Co.-58G.2M1 <br />C,� of E��erett- Dep�rrment <br />1=�.��:, FI.IC1�.'iION T�7R WATE� <br />' All bl.ml:s must 6e fillcd in or crossed out <br />�e,2_ � <br />��<<��c ........................_..._..... .... ...__ _.................... ...is_�.. <br />1�0 �ri,i�: su��i:rz,^�T�h*nrx�r or ��xr �vn�rrii v�i>ni.r:a�LnT: <br />CITY OP liVERIsTT: <br />I hereby :inply for the use of �a:tter in accard:�uce uitl� tlie rulcs and Tegu- <br />lati��us of Lhc Watcr DeP�rtment, for ptu'poses �md fixtures stuted 6elow, <br />During Lhe Lime thnt any of tlic ���stcr mai�s mnS' be tnken up by renson <br />oC ::!iy� improvemente cuthorized by thc �ity of Ecerett, in or of any sirect or <br />nllec in �ehich they may hace been laid, Lhe City �vill not b� reqvired to furui��'.� <br />��:�:ter dm•ing LUe progress of such impruvements to any consumer wLase snpp�S <br />n�..y- tUus 6c cut otf, onr be� ylincLlo f2ur :my damnges tor its fnilure so to do. <br />ApPlicntion Na.. . p. ".� }.-J..... - <br />� '..... Add... ... �.r ;-; <br />i <br />�:�,��,.......,�.3.�....._ ...Lot 3� �. _ ___ _. <br />// � <br />\n.....�.���....-...._./...E�. c=.�'.,..........__.......... Street <br />�� �, � ���������� �p <br />.... ...... .......... ..... _. ..... ... . ..... c7 '_.._. " ' . .. ._. .. ._.._ <br />7 ii � ��'ark to bc executed 6y . .. . . __..... . ._. .. ...PlumUcr <br />S 6e size of tnp. <br />� , <br />.�..�.........._Tap to he inserted in the mnin. � <br />� ._ <br />_.�_._....._R'ncc,• ..loset ;�+ . <br />�._..__.....Butli . � ! i <br />_ . <br />_._...__... rme . <br />.Lr.:.-.......Plain f..ucet inside �. . �. '1 � �'� �. <br />--- . cc;j \!,. <br />-�.._....Sidc a�n:k �eashcr .� . <br />_. .._........Hosc biU outside �..� � ....:� �1 . <br />....:.:..:......Hose biU for builSing pnrposes ..... ..���'�� � ! <br />..-.._.:.:.�:fIase bib insidc <br />- <br />� ...:.:............Bib for stnLlc containin�...................sta .................... <br />_ <br />._.._.........Numb:r of persons in inmily <br />..�......NumUcr of moms in ouildiu� � <br />'I i�c C�'emi�es nre to be used ns n_ ... _ .. '�-.��'. _. <br />'Phc owner of tlie prc�iJ.ises is._. ... ._......__ ... _.. _. _ .._... <br />Thc agent is..........._..v.�1-Lr.Y_.tT//:-:�r.C._�. "� ��? .. .� <br />........ ... . _.... _....... <br />Thi>, ^pplicnGon, although signed, shall not bc binding u�n ll�c Cily, until <br />eccepled by the 5uperintendctt of the Naler Department. � <br />�i�ned ��C-- �. ..-. .. . .. . � �:.:ApPlicant <br />:lcecptcd _. (Y �..^.._-. in2� Dy _L"��-1 i ..�R�'�.�? ...... ....... <br />-s�--/�: upenntendent <br />