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�..r.r ,�-6 .�-H/ c_, i ,l- d1 <br /> . , . "�Rt..–�.� - I i i , y. <br /> i . <br /> W.:L Fonn� I6uR E.I`.Co.—c.er..� <br /> City� of ,Everett�Watei• Depai�tment <br /> APPLICATION FOR WAT'�R <br /> All Llnnkv �,mvl Le Gllyd in or crnv;cd a t <br /> _— <br /> \ <br /> F.vcrclt�............ '.l�-. ,�. .. .... . .. .1!1'L7 <br /> �/ _ <br /> TO 1'llIs SUI'lilil:JTI?NUIiNT OF TIIG \C: TF.H PEPARThIF.N'I': � <br /> CITY O[�' I:A'Ii1tI:TT: <br /> 1 he�rLy npply fnr lhe me of a•nha� in ueenrJ;meo �vith thc rulrs ��.nd rrgu' <br /> Inlions nC the Nater llep nrtment, for purpo=��s nnJ fix�.m�r, alnted Lal;ny, <br /> Dtn'ing lhe time thnt nny uf Lhe re:der mninx mny Le tnken up Ly renson <br /> u( nnp imIiru��rmentn authurized Ly the City nt 1?crrutt. in ur aL �my atreet or <br /> ullrp in n�liieh ihey m;iy hnre Lrrn Inid, thr City will nut be requircd lu turnith <br /> a�:dcr Jw•ing thc prugrevs nf such improvcm��utv tn miy consumrr tvl�osc xupply <br /> m+.y lhux Lv rul uff.�u/�ju��c fur :,ny dmm�grs for its fnilurr so la do. <br /> APPlicntion Na...4 .��. . ._. .� _._..-' 7 / 33� <br />� Blotk .�. .. G..7. . I.o/S? .3 ? ',� ,'( . . Add. �`"_ �� ��� � � <br /> . . <br /> No .r��/ .f-.� /.>.��l�����c L_ .. 3trcet . _ . . .. , <br /> . . . . ._..._._ . . . _..... �7 . .__ .. <br /> Thc wnrk to be executcd by ".�.�f p--wj-L . ..... ...Plurebcr <br /> 3/titntc xir.e ut tnp, /�« <br /> ��..r_..Tnp to be inscrted in the mnin. <br />� _./_...__.R'idcr dnvrt <br /> ../...__....IImh . <br /> .....-.:...._Urinul (�' <br /> .....�........Plnin Lmret inside / <br /> ._.—........Sidc �rnll: �curhrr /�/ <br /> ......::.-.-......Ilo;e Gib oulsidc <br /> _. ...____.Ilove Lib for Luilding pw�p�,s,�s <br /> ...:.-..�..._ _IIose biL insido <br /> , '_......BiL fur atnble wn!ni:�in�;.. _ ._. _.slull. . <br /> �. .....Numher of perxuns (n fnmily .... .... . <br /> [�.–.�.......Num6cr of rounix in huildirg � <br /> � promices nrn ta bc used ne n � �' � � <br />� ' otcner af lhe prcr�ises iv ._ � . . . . . <br /> 1��, ngrn•, ie.__. .. . . . _ . . . <br /> __. ._. ._.. .. ._ . <br /> . . . . .. .... _ . ..._......_. .. .. <br /> hi; p�rlicntinn, ugh i iod, :;hull t L��Linding upon t6c City, until <br /> s <br /> ucrepteu by Lhu Supe �inte�dciit lhe H'ut ��p/cyy�n�nt. <br /> Signed./–� . . . y. . __...J�(,.,{.<.-,i.:'. .._:Applicant <br /> Acccptod _ �' . 1:�_^ IlY ... . � <br /> ��:P��rinlrl�dent.... <br />