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,� I�- 1�- ?L , <br /> . '�5" P.1'.�nnl IFoa-t;.P.fa-6:6.P1 • <br /> City of Everett�Water Department <br /> APPLICATION FOR WATER <br /> All blanYe nmrt be fillcd in or cro+eeJ eut � <br /> _------ <br /> / �'/ i:�z�.. <br /> F.vcret t�........._.......................... <br /> ............................ <br /> YO TIIF. SUPERINTENDENCITY OP EVEl2F.T:��E���,IiTAIFRT: <br /> I hercby nPP�Y t��r tM1c use of wntcr in ncrordnnre with the rvlon nnd t'cRu- <br /> IetloneUuring thettimo�thnl o y a! the wiltcr mnins mnyrle tnken up1UY Tenson ' <br /> n11 y iu��x•hichihey�mnythoce beenylnhl, tLr}C Y W����e^O�ibe�cqui edYto�furnish <br /> mny thus'Le cut off,or 1]t37c fnr����S�°���nRce�forytn�[iilurcreo to,douPP�S <br /> Appllcntion No.. 7S-... �........ � <br /> �a.32 .� C- �-�l . _. <br /> . I.ot __.. Add... ...... . <br /> lllock... ... .�1 ����� <br /> �.7/�.� ..� , . . .......Strcet <br /> No..... . ... <br /> .............._.... <br /> `� '� <br /> .__.._._. ........ ..., <br /> ._. __._ _...._ .� . _ <br /> � �' ._...Plumber <br /> The work lo be executed by. _. _._ ---� <br /> Slale efze of lnry p� <br /> , ,. S : <br /> .��t.........Top to bc lnnerted in the mnVn. i • <br /> ....../.......Water dorel �� � <br /> .....1.........IIsch � � � <br /> ...:.Urinal v �] � �(•y <br /> :�-- <br /> . .....Plnin fauccl inside , � �c�?5 <br /> _. <br /> —,,....Side walk a'nsher nF.0 ', WAiEfl D[P'T <br /> _.. <br /> .. ...�.-...Hnne bib oulnide CITY OF EVENET <br /> ' '. .............. �� <br /> . <br /> . <br /> ...:....--:.Iloee bib tor 6ulldinq Pur Ce ..........�. <br /> ..... <br /> . <br /> ,._ ...—}Ioee bib inolde <br /> .......�-r_IIib for ntablo mnlnininB....................etall.................... <br /> ..:..N�1umbcr of pereune In tamily <br /> . .,.�I...Numbcr ot roome In bulldinR ' <br /> __. . <br /> .. <br /> The premleee are to 6o ueed ae e... ' , 1 -��� � <br /> . _ ..__ ._.._. .. <br /> "':ie owner of the preminee ie._.._... �1.� � � <br /> . ................_............................................_. <br /> Thrn6ent le........................................_...... .. . <br /> Ti.in epplicntlan, elthough eigned, nhall not be binding upon tLn Ctty, unt11 <br /> :�nrd Fy the Superintendent of the Watnr De rtm�nt. <br /> . <br /> 7 � J <br /> .... .pn�llcent <br /> SlBned..........5.........�L........r.�lcE. __.Cf"�� ........,,�./�.. � <br /> sy../._ .:.. �.. .. _...,[I/ ... ... . .... <br /> L:�_ ........ <br /> ' n :d._....��'.��.......1� ntendent <br />