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�,�L� r �L .2 5 IC '?�� <br />VA'.I:. Pbnn ! -I:��m--F.-C.Co.—� Yc.^1 . <br />City of Eve.rett^�Water �epar�men� <br />A,.P�L:ICnTION F�R �TATER <br />' All 61anl:x must be fill^_u ir. or crose.ad oat <br />—_ — <br />q � _�� y <br />Lverott....... _.......... _.... _ ...... ........................_......._. <br />'PO 7'lIP Si'PERINT�NDliNT OR TIIi�] \VATEI2 DEPAR7BiGNT: <br />C1TY OR BVliP.PTT: <br />I hereby nPPiy far the use ot �cu er in uccard:nce �eilli lhe �vlec and regu- <br />lations of the Nater Pepartment, fat p n'Po�cs :md fir�urce stuted bclo��'. <br />During the time th:it any of the �catcr mnin � y U� taken up bS reason <br />of nny improceuients nn'.��riud by the Citp o[ L..ct, in or of any street ur <br />nll�y in �ahich ?liay may huce Ler.n laid, the City w.+, not be required to furnish <br />�;;der du�iiiH the prugress of sucn improvements to nny consumer a•hose supplY <br />iu�iy thus be �.ut ufL, or bz� IiaLl�c} for ::ny dnmuges tor its failure so to do. <br />Apldi,�cn�t/i�m Nu-$.......���.��..d ...............%3c57 /- �� <br />Block.......�r.!\e.........7....-__. Lot....�'f:...�'_r5__.._._...... Add�r-uL<,='�. .krtiij <br />'f y _ .�.�.g,..y!�,;._.........._Strect <br />xo___H.6�..4..�J_. __.._ ii <br />. .._.... <br />_ <br />_.._. . .. �' �.// _ <br />. ......PluroUcr <br />1'he ��ark to �^ esecuted by..._.......__._.. ` <br />1 � <br />�ilpte sizc of tcp. � <br />i1/ _Txp io be in:iert^d in the m:.in. .� —� <br />r/ . <br />4 - I <br />.., _..., _\P�:cr closet � <br />._......__--l;nth <br />......._..._'Urinal <br />�........Plnin fnucet iir<idc <br />,`-._.—�ide wnik wasl;e� <br />`.......Hosc UiU nutside I <br />.....'—.,—Iiosc bib {or buildin6 P�rPoses <br />................IIosc UiL inside <br />�-.-BiU for staUlc contnining ....................sta 11......._......_. <br />----_.�-D,um�'�cr�sons in family <br />�........Nwy�cr of roon:s in buiidin t/,•�� � � • Q � � � � � <br />'fhe premis� nre to Ue used as u...,/.��-�`'�'��`7`�......`....... <br />/ �• <br />'Phe owner of the pretnises i4.....1. -�1-�--� �� <br />. _............�... . <br />..................................... <br />Tncngent �s ..............._................_ ..........__........ , <br />This npP��cntio�, nithuuF>> signed, shall not bbe1b�ein� upon tl�e Cihr, until <br />,ePted by thc Su erinteuden=f the R'n� 1�4• <br />-/„! ,. .-/ ./........... %2�yr..z- ....a. ..........Apiilicant <br />Signcd. .. � .. / " .._ / <br />/C' �/�!! ' '�/. ........ <br />.�ented....(%,��.. ........�`��.... BFCL�iYi{� tendent <br />/ / , <br />