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G... ,t�y' s��- i � 'r. r� .�-'-`-�� 1 � � <br /> 9 q <br /> -c,n��- e.r.ro.-6 zc.z� � . <br /> ` : � � of Everett�Water Depai•tment <br /> ��'PLICATION FOR �'t'�TER <br /> All blunl:� mcsl Lc fi!led in or crosacd out <br /> __—__._— <br /> ISvcrell._..___..... __..�7.... .__._.._._._ ...._.1:iG,.l. <br /> TU 1'lll; �UI'1•:RINTI:\Uh:�'P OF TIII? \5":1'fI:U i)IsPAI:T11h:ICT: <br /> CITY OI�' 1:1'7'124:TT: <br /> 1 6r;rLy app;y tar the u�;., ��f �culi�r in iuenrrl:mre uith lhc ralrv n�d tegu- <br /> lations of thc 11'nler llepmtment, fnr pwpo:rx nnd fix'ures yl:�trd Lolo•.c. <br /> Dm�ing lhc time thnt nny o( lhe x�:tler mnins mny Le tnLen up Ly ren+un <br /> uC nny ini n•ovcyucnts uulLuriz�,d 6y lhr CR}• ut l:��crelt, in or uf uuy etreel. nr <br /> nlloy in w�irh thoy may hnce Lorn In�d, tLc City will not be required to fun�irh <br /> �cnlcr dw�ing the prugresv uf sm•h im��rnvemenle tn nny ronsumer whuse eu;iply <br /> m:iy thus Le eut n(f, ur 6c GI:nLlr fur uuy dmunges tor ita tnilure xo tc do. <br /> APPliratiun Na.. i. ./..��...._._..- � / 3 � ", <br /> I31ark .... ..�._. _ .._. I.ot. ��� /'/' . . . .. Add. <br /> To._. ;3 ���� ..��..�C�L ... . Street .. <br /> .. . ._..... .... ..... .. ._ . .._... <br /> . __ . ._ _. _. . . _. . . .._ ..... <br /> 7'hr wor6 to be cxmufed Ly. . . _i'lumber <br /> Sl¢t elze nf lnp. ���-�� �- �� <br /> ..�f?..`...Tnp ln Le inscrtrd in ihe ivain. <br /> .. .. �...._\�'ntcr clmet <br /> .. _�.......Qath � <br /> . .__.'.......Urinnl j�- <br /> . �c.�......PL�in Inurrl inside <br /> .-'.. ....Side �cnik wa.hrr <br /> . ./__....Iloer bib oulside <br /> . .�-.....Iioac Lib tor LuilJing purpu<rv <br /> --: .:._..iln�e bib insidc <br /> . .� ... .....pib for xtuLlc conlnining.....__._....__nlnll <br /> � ...__......... . <br /> --_.:......Numbcr ot persone in fnmily <br /> ---.-.�� NumGer of roomn in buil�ing n <br /> Thc premisea ore ta bc useJ es Q.�^ . <br /> .. . _ _.__.. . .. <br /> .. / . ./ _._, . _ .. . <br /> 7'he on•ner uf thc ptemiaca ie_._ �-1 ,��,,y.Gy-�_.�..�_,� � <br /> The ngent is......._. ._.... ��� <br /> . . ._....__..__... . . ._. . _..... _. ................._._................. .._. <br /> Thia u�plicntion, nithou�h sigm�d, r.hnll nnt 6e hinding upon the Cfty, until <br /> nrcepteJ b,� the Superiute denf..uf}�9 VVnter De��nrtmrnt. <br /> SlgneJ�.�:ik:�-�LrG�yL,�(,.e.,r�-- ..._ Anrticnne � <br /> , YY���� <br /> Accep�..a. �..��.��»z_. .. nv.�� _ L <br /> . . ._ _........ <br /> - Suprrintrndent <br />