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�-.-:__�:,,_�.`� f ; ' - r � <br />� �.__ <br />tt'. �,. ro.en a- �soo-s.r..o. c.fc za .. <br />City of Everett--�,�7atei� Departrnent <br />1'�PPLICATIO� FOR ��ATEF� <br />All Llnnks mu:t bc Ciilcd in or crossed out <br />__� <br />I:vcrott ....................._ _.. S . _...__....19? /._ � <br />. . ................_............ <br />�PO 9'11I: 6UPtiI.INTEIDENT OF THF. �i'ATI;R UEPARTnIEN'P: <br />CITY OF CVEI;GTT: <br />I l�ureby npp;y fnr the use of �eativ in accnrd:mee ��•i;li the rulos ;md regu- <br />Inti�ms ot the Nntcr Dupnrtment, for pu•��oses and fixtures stnted Lclaw. <br />During the timc i; t�t miy uf thc �eater mnins mny bc taken up by r��as.nu <br />n[ :iny imprueements nu.hurized 6p th� C:Ly of 75cerett, in or of nny strceL ur <br />n�lr�� in which ihey may hnac been laid, the City �vi11 not �e re�uircd to �nrni=L <br />n�.�tur during the nrogrees ut auch improvements lo nr,y consumcr whosc sup�ily <br />umy •.ims 6c euc off, or be IiaLle fo; :iny dtunnges for its failw�c sa to Jo. <br />y L g � <br />�1PPlicntion No............✓.......... — <br />...1..... � <br />_._�. <br />� <br />�i�OC}. . ._.... . .._ . Ot ....._ _ . . . <br />.._. . Add. ...._�. . <br />\o 01.7 � � _.Strect . _ _._ ... <br />..... ..... <br />. . ........ <br />Thc �vor$ to be exevted by.._ ._.... _. <br />.. ._. �""�"�'�t�.-...._._PlumLer <br />St:�c size of tap, <br />i, � <br />�� f..���.Tnp to be insertecl in the mnin. ? <br />....._.........\Vntcr cloae! �` S �� ���� <br />.z:r:.......BatU � <br />.:_. _.........Urinnl <br />-�"_--..._Pinin fnucet i>>=iJe <br />`_ _— <br />--_..........Sidc �valk �vashcr <br />.. -.:.—....Hose bib outside ' �' � �. � <br />____ <br />..-...........Iinsc LiU fur building ��urposes ""'�... . 1 <br />_..._.:......Ilose bib inaide � J�� ' <br />..-......_....Bib for stnLlc containing..........._......stall__._......__ . <br />....-.....:...Nnmbcr ot persons in fnmily <br />.- .......Number of romns in bwldin�... �� <br />:�ie prcriises nre to be used i�y a. n� <br />'1'Le ot�ncr of the premises ia �-.[/� S.-� q�y��y(%n ' <br />. .r. <br />Thc agCtL 1 ._.. .. � / Q ..� . <br />,ircepl�ed Ly t�he���unc�tFii�lvt�lt.��� �uXt._ � ......�..� ...... <br />i1 .... _. .. <br />°i � I 1 uol hc in�iinq upon lhc CitY unti; <br />:Scccld��d-J�_�'�.1 ._ '_.1!1: i� <br />� BS-� <br />� Applitnnt <br />� ...... <br />........... _.. . _.. _. _.. <br />perin�ontlrnt <br />