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.�.�� �I- -r , ^.�' i%:> �, <br /> .t c�v �i �F -: 5 i1� _ �' � � . <br /> �:.P.Y.�rm 4. '-6nU—E.I'.Co.—:r26.d <br /> City of Everett�Water De}�nl'tment <br /> I�PPLICATIOI`J FOR WATE�R <br /> All Ul.uilcs nmst Ue filled in or c:ossed out <br /> / <br /> ��-«�u......................_.......'..�.....a'........................_isz.s.. <br /> 7'O TFIE SUPERINTEND�NCITY OF EV tliTT;DEPARTbSENT: <br /> I hercUy aPP�Y for the ase cf�vuter in accm'dznce �eith thc rulcs and Tegu- <br /> lalinns of the \Vuter DeparLnent, for purposes und fi�tw'es stuted Uelow. <br /> During the time that ar,y oF the tt'atcr »tains may� be Laken uP �Y rcasmi <br /> of nny imProvetuen's nuthorized Uy thc Cily of Ecerett, in m' of nny etrcet or <br /> allcy in �vhirh thcy n.�v hnce been lnid, the City �vill noc be mquired to furniah <br /> i��uc�U�us��Uerutoff orLclfablefort:�Ydmnnbes�far�its�fcilurersolto ��°P��Y <br /> Applicntion No.._......�....�j...�..�....... <br /> �l .} � _... Add..__..._._............__.__....... <br /> 731ock..........:"6.dr�'....__....._ Lot_....._�.�......____...... <br /> \o...._ � ........._........ .. trect <br /> _�-0._.........L................. ...._.... <br /> . . _..._ _._.................... ..............._................__._..................._....._.......__.................. <br /> Tim «'m•lc to be executed by...._._........_... <br /> . ._..._..........._.__..._._.___........PlumUcr <br /> Sta6e size of tnp. � �.3�� � � <br /> _.�h..��.Tnp to Ue inscrted in the main. � <br /> .../........\Patcr doset '�/ r� <br /> .....�_..... I� , <br /> Bath � <br /> . .—.:,,---Urinal � <br /> .....�..:......Plain f:mcet in�idc <br /> r-c...-=Side w�ll: washcr <br /> _��_fIose bib outside <br /> ......._..._.fiose Uib for bcil�iing l�m�pr.:;es. <br /> _____ <br /> .__...........IIose biU insidc ��� �� <br /> ...BiU for stable cmitaining-.................slall..................., ' 1, <br /> ................A�umbcr of persons in family <br /> ....�...._Number of rooms in building 0 <br /> 'Phe premises are to Ue i:sed as a...._�/ � �� � ' ' .��'...'........... <br /> ';t � o�a�ncr cf thc preciises is.�..�+t,�-c�<�-����-`��......--.....-...... <br /> ., �ent is................_...................................._..._.._.............................._.................... <br /> no�ilicntion, although signed, shall not he Uinding upon the City, until � <br /> , . .y th,e4Superintendent of/t��i c, Waier Dcr rtment. <br /> � �/ � /�,Lf/l�np �-�'�-d?�1,--.-....ApPlicnnt <br /> Signed...'f..'7.`:Z:................................... .. ...._....;. <br /> �c.�:t_]..__..._/...........:...:.........19?...... 73y.....:._.`.._......_:.�.. .._........................ �. <br /> , � � Supecintendent <br /> ,i'' <br /> , <br /> w <br /> � i ♦ <br />