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._.. .- i���"7�V� <br />N'. 1 L Fnryn J- ' . ���-1i.'^-�-Y 1 I- S �-1,4. �-ry� <br />. �ano_r.eco:-c-se�a � �� <br />City of Everett---�,I�ater Dep,�rtinent <br />APPLI�ATION FO� 1f,T1���R <br />:Ill L!m,l;s muet 6e filled in ur crosse�l o�.rt <br />���_ . <br />2:��c.ctt,..........///.5..�/./� � <br />TO TiiE ::C�I'Ll:l:d1'TNll�NT OP TIiP•. lt':1'PEIi DG:PA1:T.liE�.r,__._._.192___ <br />CITY OP h;�ry:::ETT; <br />I Lmeb;; �ppiS' for the vec uC water i�1 :u•���lcncc ivith�the r�:ea'find regu- <br />I.itions of fhc R'atcr llepartmr.nt, for pwpuses and tixlures =t:�led bcicw. <br />Durir,g the time [hat anv of ten ti�•,iter mains may 6: taken op by rcason <br />��f ,rq' iwprocements author•ized by Lhe City of Iiecmtt. in or c^. au: slreet or <br />°���•3' ;n c'hirla Ih.ca uiay 6ncc becn I��d, the CitY will no6 I��• rcyuixed ta furnish <br />��:�:ter ;hui�ig lhe p:u�;resa cL such improvemen!s to any con,urt�rr rvhu;c su� piy <br />�.; '.}ms 6� rut off, or 6c 1i�a761/c for :iny da��u�ges for i[; fnii�ne so Lo d�. <br />, . � :1,�plication :Vo._. �Q / (O <br />........... � �. . ... ... � <br />. <br />I la 1:..... _'�'1/ � w � si�_ �.�.-.v <br />_._ .. ......_ Lot�ocx� �_.�_.�� dd .. .. .. .........__. <br />�{ � � �_ �� � <br />.� _ <br />� " �� ��� � .Street <br />.. _.._._._........_....._ ..............._....................__.. <br />77�c work to he executed b - .............._..._... <br />y_...__.__._ _.. .. . __i9wnber <br />at�n�te aize of tnp. � . ........ . <br />-.�f.2.._Tap to be inser.ed in the meiu. <br />._._..........{Ptitc• clo::i�t <br />................ L' a t h <br />_ _...........Urinnl <br />-�..........Plain fuucet inside <br />........._.....Side tvalk }e:�.,hcr <br />-.�.........liose Lib outsidc <br />....-.-........I?osc bib for buiWing purpnso, � �/� <br />.- .............Hnse }ib in=_ide �/ � <br />.----........Rib tor stablc contninin C� � r U <br />� ................... stall_._._........ �.5 -� <br />..--.-........Nr�vbcr ot persons in fa�r.ily � . <br />--�.?���...NumUe.- of raoms in build�li�� <br />i'he premises ure to be used ns a._. � <br />� hc o�vner oC thc prm u es is /�1�fjj/)... ���L aG ...... <br />P-�t� <br />�6ent is.. . _. . ._. _.. <br />- . _... ...... <br />. <br />��licatien, althou� h si uid, hiill not be b�r.din.�.... <br />�he Suin�rinryte�n�dcntpf the �Vmer Depnrtment6 upon tho City, pntil <br />. Signed ��... ll ✓ p� / <br />� �..__ ..... / <br />.....-.. �PPlicant <br />i / <br />..../� '`a4 _..^�`'"i y /��' ,. —���j i'� __ <br />%` C�. .. . ........_ <br />— ��g�i�'rintenden[ <br />�' � <br />� <br />