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... .�,_ r.-:�,�. .� i�c:� :-, :; a t�. <br />C1TV 0� EVEf�ETT==VO'ater Department <br />Ap�lacatioaa fo� �'a� � <br />:111 blanks must be filled in nr crussed nut .� <br />— . ' �/� }.� <br />fi l 1'Ht. SU[ IiRl�l'Pf:VllBN'f O["Plfl: A��l"1'1 2 UL• al �� <br />I'cerett. / ___�yl/(.�_ <br />- _-__-_� _-_-____._._ 9 <br />r � • • r 2T111iN'1', <br />CIl'1' UP ll: tGl"P. <br />1 herchy apply fur the u>c ni ���atcr in accnrdnnce mitl� ihc ruirs and remda� <br />� i��.r ,d'Che 1Vater U_p:n�tm �nt. (r,r pnrpuses and liztures sLucd Lelrnc. <br />DwinG [nc time ih:�� nuy or ihc wa[cr nmins may F,c L�ken up 65' rensun o( <br />.r.r: imuruarment, aullwrized bp the City u( Ecemtt, in u- uf anv sVeet ur nllep in <br />'a'hieh lhey mn3' h;�ve becn 1-�id, the Cflv will nut Lr r�tp�ircd tu fmni�L �e:rt��r du:in�: <br />Ih�• pn�Cress oL;uch improva•menls lu any con:,nni��r ��: h,�sr ::upply m:�c Ihu> 6r c <br />,r,i. nr bc liablc fur :m � dam�ig••. „� <br />) �_ fof its L�ilurr :-u �u du. <br />:Applirn[ion Nu.._ ' �'�'�"_'_ <br />Illock _� . ' — <br />-__' _ _._..Lut_.V1i- �' .ldd <br />���.._�_�/2 — /G __G __ s���•�� <br />- - - ----��--- <br />------- - --- <br />— —- <br />'I'hi• �cnrA to be eseculed be_.___'_""_"" '_"_ "_'_'Plumbe� <br />" '___'___'_ <br />5inL� si: r ��( tnp. <br />��7l_�fnp to bc inscrlyd in [he main. <br />� . \Vater close[ <br />. / .. . �iil�l <br />Urinal <br />_ . . I lain iaurc[ inmdc <br />. _ .Sidc «al4 wnshcr <br />- Hose 6ib ouhii'e <br />- ___ . ..Hose 6i6 for 6uilding purpnses <br />. --- ___Ilosc biU insidc <br />Y/` <br />l <br />� } <br />�: L <br />�� <br />�%� �+C�i�� <br />� : i__, <br />��� �l� �:ii <br />..___.._ISiI farsmblecon:ainin � l, ' P ' <br />F.____._ __;tall_._�" ; --' <br />�'z:. <br />.--_.-___AumLeru(personsin(amily T�'ti.,j,5_.�'�!'.:� <br />-- �_ Ymnber of rooms in builJing ���� �".� . <br />��: <br />"Chc premises arc tu be u�;ed as a _ _ _ _ . ___ _ __ <br />___ ___ ________'_'_"'___ <br />'I'hr u�vner n( [he premises is .____._________ <br />"Phc agent is . _'_' . ___ _.. __ <br />7'hi� :ippli.-�;i,�n, alNmu�h =;pncd sh�ll"� u. � bindin �_� - __ _ _... <br />� 6 upnn thc Cit}•� until ;io- <br />.'��plyd bv "�hr tiupc In�r. �.- r tCi' �JePar[n L '� , <br />tii�nc�[�"" _ '_ _' __���c..i��. ��� <br />'�--�-�� PPlic:m[ <br />�. _ -- / . � �i . . <br />r , : - ,, <br />r : �. � _� � <br />