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t/IY-'L 5. ..�_..t a. tL . �� s - c..V—._^— .. . - ' <br /> `b'. D. Form 4 1500 a-I-17 C.P. • <br /> �[TY OF Ei�ERETT==1Vater Departn:ent <br /> t'��ag�iieatio� �'�� �ater <br /> Ail blanl<s nmst be (Iled in or crosscd cu[ <br /> '/ � � <br /> Everett.---_________'_�7- . �'J____.L� <br /> / t <br /> 'I'i) "fHG SUPIiRIN'I'ENDIiN'1'OF THE NA'CER DEPARI'�91iI<T. <br /> cn�ti�oi+ r•.��rai:�rT: <br /> I hercby apply for the us-e u(mater in ;�,curdance�cith the �dles and regula� <br /> ,i,�.i;nf The Na[er Dapnr[m_nt. (or purposes :md fi::t�ares stated 6elo�r. <br /> DurinF the[ime that:my u: the �cater mains m:ry� be tnken up 6Y reason of <br /> :u:�� imprnvemen[s�uthorized hc Ilie Ciry'o(lveret[.in nr o( any sVicet nr alley in <br /> �.�nid�tiieY �»;�S' have bcen laid, dm City will nnt Uc rcquired to furnish wafer durinF <br /> the progress of such improvements :o any rnnsumrr whnse supplv may thus 6e cut <br /> nii. ur Lc liable (ur anY r���/���.'�Kes for i;s failurr sn u�do. <br /> Al>ilicntio% Nn.'_!-_�CJ_��__. <br /> isi����: 3 -- - -_��c:_/_G_-_�L --- —na�i_��rrr_y.o� <br /> �/ -- — <br /> N�,.-----r2__ L_`9-.oL-aT_�_LV-4c�..slrcet �`�-' 7T�41. <br /> � <br /> — — —._..._:---1 -- -- - --- — - ----- — ------------ — -- <br /> � <br /> TLe �cori< lobeexecutrdby______ ___' ______..__'__...__.__._' Plum6er <br /> Slate ;iic nf tap. a . <br /> / , a <br /> �.�1---Tap :o Uc insi�rfrd iu U:c ra::in. �y — �s—� , <br /> ___'�__'_1�'atcr closet <br /> ___'1____.[3ath <br /> .___.___ .Urinal <br /> _._____Plain laucet insidc ' ., ., <br /> ___.____Sidc wall: washer � 1��. � <br /> � ______'..Ilasc bib uutsiJc <br /> _.__'____.l(ose bib tor uuilding purpos^s . <br /> ._____'_"Hosc bib inside <br /> _ "".'__BibforatableconuiininF--- -.-._ �tall. _ ..___ <br /> __'_'__.ilumber uC per5unc in (amily <br /> __3"'_Number u(runms in buildinF <br /> 'Chcpremisesaretobeusedasa___ _._________________. . _._____ ._ <br /> 7'hcownerof[hepremisesis ____________________ __________ _ <br /> .. ___.______. <br /> 99�c aSentis .__"__________ ___ ___________ ____ _ ____.__"_'--____'_______ <br /> 'Chis npplication. altlmupli s�Gned, shall nul be bindin�upon Ihe City, until ir <br /> tud by"Che Superimend��u o((he R'ater Deparunent. �� <br /> /, __ /a /�� 1����r�,�, <br /> . SiHued �/ � i,1 l,_�%12(� LAPPlicant/ <br /> ^ <br /> Arcepted._�"' '__.141 � It� . �� y __ '.- _-. <br /> . .ii �_-�,i <br /> � <br />