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„_.,«., - -_� ,. <br />A �__ _d n�r , s t-il. . � <br />... C.:':.nu 1--1fr00—E.P.f,o.—.G.24�"< . <br />City of Everatt�—�Iater Uep��rtm.ent <br />1�=�'PI.,IC.P�TIUN FOR �ATER <br />A�I hl�mLs mus� L� filled in or cecssed out <br />-- -- '— <br />l.corett ....... .........� /��_}. ................._........_...10?.. S. <br />I..J Tlli:l SI-P:<!:�_.��;_�p,•�,�r.\CITP OP'��\PRETT:�LPARTI�.IENT: <br />I IicreUy apply for the ir;c o: a';iter in accordance �t�ith tlm rules :md regu- <br />I,iiuns of the �Fatcr llepurtvr.nt, fcr Pwposes :md fis�ures stn.ed bdutr. <br />Dw�ing the time that any of liic a�ater mnins may 6e taken uP >>Y rcasou <br />ut' tmy improecments authorized by tlie City of li��ereLC, in or of nny �.lrc^-t ui• <br />ulley in tvhtcli lhey may hnce been lsid, thi City tt�ill not 6e required to fu:ni:= i <br />r.:der during ihe progress of such ir:i��rm'ements to nny consumer wlmse sui�i��:� <br />is:i� thus Le cnt of[, o�ribe liable for eny damnges foc its fuilure so to do. <br />Applirntinn No_.-.?5...`3...3- ��.........�: <br />JJ� � L�t........ ..��Iv... � .. Add.._.....____._._.... . . .. <br />ISlocic ................s.__..._......_... Z`� <br />......... . <br />'_' � ....�_.....___ ..............Strect <br />��..._�a /.a_._....... . �.... <br />.. . . ... ... L� cc. c <br />� . <br />_... .. .. � <br />Th�. work to be er.ecuted by . . ..... Ylmvhcr <br />�t1te size of tnP. _ �7 j� G . <br />/ pc <br />�� <br />,,;,_::�-�.-::..Tnp to Uc inscrted in tl�e mnm. <br />. _/.,_......1\'a:er closet <br />/ <br />................ R a Ut <br />. _`.........lirinnl <br />__��,....._Plain fnucet insiile <br />_-�-._Sid^ �vuil: �vashcr <br />_.L..........EIo�e Uib outcidc <br />.__`.-......F?ose bib for Uuilding P��P���”; <br />_..--.....IIosc hib insidc <br />.._._........BiU tor stnldc contnii ng.........._......_stn::.........._.._.. <br />..../..../. ...NumUcr of persons i^ family <br />`-�'.....Nmtiber of raoms iu UuJdin� . . , ^ ,. <br />;�;� � . <br />T}�� premises are to be used os n (� ir�-�J� -� � � �;= � <br />I';�e o�vner of the Prer.iises is...��/1i+�vc�"�'= �������CI � f--��L_. <br />1'i�,.• agent is ................................._................................................................................... <br />'�'his npplicatian, nithough signed, aliull not Ue binding upon tlie City, until , <br />�.ci L^ the Superintendcnt of the Nnter Depnrtment. � <br />1 ____ .......... .�PPlicant I <br />si,tnea_%j...._�_......_......._......._....._._.__....�__�ti r! <br />_.1p° .._. B3'_._ . ..__... .1 <br />. . .. ...... .. .. .. . <br />. _ . -. _ ___. Cupuri�dendent <br />