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� 'C,.a.�d �!-1.: -.� �� �c�.�i�,...�AI.� 'h ._ � �e i-� Vi„-1 <br /> � . <br /> W.0.4'orm 1 IM1no-E.P.Co.-.6-48�41 <br /> City of Everett�—Water L�epai�tment <br /> APPLICATION FOR �TA.TE�Z <br /> All Ulnnks mu=l Lc fillcd in or crosved nul <br /> F.�•crelt�..__._ . ____...... ... . .... �..D..._.It12..7 <br /> TO TIIF. SUPF.RINTGNUF:1'T �)F TI1F \1 ATI;R DF.PA TIF.tiT: <br /> CITY OF F.VBI2GTT: <br /> 1 hrrrLy npplg fnr lhr uee o(w'nter in necm�dnnre tcilh the rulrn nnd regm <br /> Inllnnn nf the R'nlcr Uc inrtment, (ar purpn�rs nnd /ixtm�rx etniad bolnw. <br /> Dm�ing Ihe timc t�nt nny n( thc �entcr mnin� mny Le tnkcn up by rvnsan <br /> nf nnY im rtoremuntn nuthnrized 6y Uie Cily o[ ficrrclt. In or al wiy etreet nr <br /> ulley m n•�ieh ihcy m�y hnre boen Inid, thc Cily a�ill n��4 Lc reqmrcd to furnixh <br /> wnler dw'in�; the prngrexn af xuch improvemenln lo any cnnnumcr whosr xupply <br /> mny thus Lc eut nfC, o�hc li�ilc jor nny dmm�gi�e b(ar ite fnilurc x�� lo ilo. <br /> Applicxtion No. _�. y .. . .._q. �l ' D . . ' <br /> Illock ..........�. /_�7.._. Lo�t '?.�.l. . . .. Add. .. .i. _. . . _. . .. ... <br /> Na_��.� � �.. . �-Q-�-'�J. _ _ .. __.3trect ,. <br /> ._.. .. .. .. . ........___ .. __. ... (�. . _. .. ... . . . <br /> ..___..._...__... <br /> The wnrk to be executrd Lp . ._. . ` " ���� � - --���IumLer <br /> y nle nize of tnry , � / <br /> 1? � . Tnp tu Lc imrrte�l in the mnin. ! � <br /> ' �� <br /> _. '_ _._.15'nter cloxet � � <br /> _.____.....Dnch �I � �. <br /> . _._._._..Urinnl <br /> __ __... Plnin fnucet insid� <br /> .. . ___.Sidc wnik �ensher <br /> .. __.._....Ilnac bib oulaide 71 l ' <br /> �. . . _._...Hose bib for LuildinR Purpos���� <br /> .. . ___.Ilone bih inslde <br /> __..__.....BiL for elnLle cnntninir.K....... . ..- . xlull.. . � <br /> . .�.._....Numbcr o( persons in tnmlly <br /> �.___lumhcr o[ Tnmm� In 6uildinR • <br /> .� premixcn nrc to bc uecd ns n �-L-� '( � __. <br /> • uwncr o[ the premiecv iu� r} �r-,�� Q .� . �•.-..'�- <br /> ngi�nt �r__..._.... _ . .. <br /> ap,�ientfon, nith��,�� . unth <br /> v !hc Superi�du��� �� <br /> , — <br /> ./ <br /> Signed.._�.� � � �/ � �..��..'7_� Superintentlen� �� <br /> � , i <br /> � ' 1 L I <br /> � <br /> n����e�•a__ J'!, / d�_ _ �:�e'_ n��/�/�E� �... / <br />