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:�cd�,.�.�, z�, i . «zq s-y. �-., r <br /> �.c.n.r�„�,a 1S�.n. F1I`.Co.-L.96.R( . <br /> City of Everett�--�Water Department <br /> APPLICATION FOR WATER <br /> All Ulm:ks must he filled in or cros�rd out <br /> _ / I <br /> F.��crctt�........ .�- /����y........__........__.__1!7'9. <br /> , <br /> I'O TIIP•. SUI'tiRINT1:NDGNI' OP Tf1M: R'ATEi2 UF.PARTIIENT: <br /> C1TY Or CV6RRTT: <br /> i <br /> 1 hereLy nppl}' fn� thr v�i' u( a�nirr in nrencdnnce teith thc rulrs nnd regu- ' <br /> Intiuns o[ the W�rtrr UepnrUnent, for pmpn=es nnd !ix'tnrx etntrd 6��lo�r. <br /> llm�ing thc timc lhnt nny nf thc w;der mninv mnp 6e lnken uP �5' rcnson <br /> o( nny im �rueements nulhurizrd by the Citp nt E�•rrett, in or o[ nny xlreet or <br /> ull�,r in ���iirh !hey� m�y hnre Lrrn In�d, !hc City u�ill not Lc required lo [urnish <br /> �vnWr durin�; lho progress n( surh im;n�nvvmrnta to xny cnnvmncr whnsc aupply <br /> m;�,y lhus Le iut nff, ur bc IinLle (nr uny dmm�grs tor its Inilure eo to do. <br /> Applicnliun No. ...µ.�9.�...__. _.. <br /> �;,o�k.....s.g..l i.ac r 7 __ .. naa. __ <br /> No.... _ .2 5 0 �- �2.e..t,.��e�� <br /> ,'. _ __ _ _.. _ <br /> � 7'he �rork to bc cxecutrd by .. . (�.�ZiO--c.�` _._.PlumLcr ��I <br /> �9t c aixe ot tnp. � <br /> _��...Tnp to bc inaerted fn lhe mnin. � <br /> _.L .......�Ffl�M C�OSCC � n <br /> 1.............nocn ��3 1 //-�1'/'FJ/r' <br /> .............:..Urinnl ' Q � � V ! <br /> �..��....._.Pinin lnucet Insidc <br /> _ . __.Side n�nik wnshcr • <br /> �.. ._. .......Ilose Li6 oulsidc <br /> ...—__.._...Hoae 6i6 for Luiiding pm�pnr�,= / <br /> -. .--...._...Iloxe Lib insidc � —'" <br /> . Dib for eluLle ioNnining._................et�lll............. <br /> . — ......TumLcr uf pereona in !nmlly ' <br /> ....�.....Number of rooms fn Luildtng . �' <br /> The preminen arc tn bc uneJ as n� `�� � ' �.L � '� <br /> The ownrr u[ ihe pretnixen is _C�.( . I�. �Ji�'/.. .. ... . <br /> Thc ngont in......... ...... ......... .............. ... . . . .... <br /> ....... ..._........... <br /> .......___.__.._. <br /> � Thia npplicntlnn, althnugh nlgn�d, nhnll not be filnding upon lhc City, until <br /> nccepted by the Superintenden of ntrr Drpnrtment. <br /> Signed _..�.._�SS.�� � -(. <br /> . . . ...-., li nt/ <br /> ,/ � nff�� <br /> Accepted._�...-�,-.......1D'L�.. Dy �/.,�r��j //�/" <br /> � perlAR��- <br /> F <br />