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',l'. i.. Fcnn 4 I S np yl-1 '0.P. . <br /> Gt7'Y Of EVF,R[=TT�-=Wzter Depar4r�ent <br /> ��p�lication for ��at�r <br /> � -UI blanks must h;:tdlL•d ' ur cn�ssc���u� <br /> y3 ' <br /> �/ �- - �- -- <br /> e,��«<._ -- - ---- - _- - ' -- <br /> '1'O TI1E SUPBRI.V7'ENUFSN"1'OF"P{�(:�VATI3R UIiPAR1'D1LN'P, <br /> CI1'Y )• L/bNETT: <br /> 1 I�ereby apnl}' (or the ust o(«'ater �n ,�crnrdance�vilh the rules and regul:t- <br /> tinn;u(The '.Jafer UeparUnmt. fur purpnscs :md fisWres staled belmv. <br /> Ih�.-inK the time that .mY���the�vater mains nmy be taLen up by rcason o( <br /> :my imur,vemen�ti authnr.red by the Cin'u( Everett,in or a( �nY streel m a��c}' in <br /> whicit!lieY �»'�1' have bten laid. the Citv �vill nnl be required tn (urni=h w�ateT duriu�; <br /> �I��e��-.rr��revs nf such improventents tn an)'ennsumcr ��'hose suppl}' m:�y lhus t:e cul <br /> uf;.or he liable (ur an�d;�m'-�s fnr its [niWre su lc du. <br /> lf <br /> Applirnti��n No../��-- -- <br /> _'_'_ <br /> GCL — <br /> �:luck ____ . �l -._-. .. . <br /> � �- '--Lot-'------------�-------Add_ .... .._.. <br /> 3 1 3.� � _�r�_ s�r�<< - - --- <br /> ."__NO..____�___ �L/Y <br /> . _______. __ _ <br /> __ <br /> _._. <br /> ___._._.____ _. <br /> �� ,(/1/'_ ____ Plwnbcr <br /> 'I'he work tu be ececutcd b>'_--. -- ---- — <br /> Sc�tc i>.e nf tap. u U <br /> ��i__T0p tn 6c inscrteJ in ihe nlain. �'' / �_� <br /> ..___._�__Watcr eloset <br /> _..__.-__.l3ath <br /> Urivai <br /> ___.____Plain faucet insidc <br /> __.'_'_Side w�Jk wnshcr <br /> _"_Iluse 6ib nulsidc <br /> ____'_'_'Hose hib 6irbuil�iing purpnscs . <br /> .__.__Husc bib inside . <br /> •_"__'_f3ib for slable cnntaininK_""___'-stalL'_"-_;. <br /> __ �1'__'Nuntbcro(Dcrsuns in (amily ._ , <br /> _.:,C;..__Numbcroiroomsinbuilding , . <br /> 'f'he nremises are tu be used as- a- .1---- ---------- "--- <br /> �d". . � _�____ <br /> 'I'he awner a(lhe premises is '__�/.'_.-'__'v"�'-_'___"_'_-'' <br /> _'._. <br /> . �!- --_'__'_ "__'______""". '_"_"_'_ <br /> "Chb ape�t is____'---... . <br /> 'Chis npplitatinn.allhough eigncd,shail mt bc Uinding upnu the City� �nlil ac <br /> [epted by The 5�penNendcut uf Ihe Nnter :cpar�m.nt. <br /> � �Ce/`7// - _ _.__Applicant �� <br /> SiFned__ � 1/Yli�-.b_ " <br /> � {�/ <br /> �!{7' B "�_ _ _ '_' "__' _ � <br /> AcccP�ed� �'._ / � � . n.i_n._�. <br /> -�y ��. , <br /> : � <br />