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O <br /> :,.l�e6oy�.�'C <br /> ✓' � • ' ��r <br /> 1i'.n. � �N� ?`�6-"l�' �'�I <br /> F��.����__�aon—t:.r.c�.—�.zaz� ' <br /> City of Everett�Wnter Department <br /> APPLICATION FOR �T�rATER <br /> All binnks must Lc filled in or crossed out <br /> � <br /> Evcrett............................... c�ID.............. <br /> PO THli SUPERINTL•'I�llP•,NT OF TIf[: \pA'r�r,R DEPAP.1'}j�h�T: <br /> .............1;1�.-, <br /> CITY OR E\TR�TT: <br /> Intimtslofetho Nnt'r De ahf us� °f 1°IIter in �iccordance u•ith tlia rules nnd regu- <br /> During lhe timr tlint nent, for pw�Doses tmd fi�tures stated belotv. <br /> of nn1- improecmeins nutLorized b}tlthe��Cit r °11ins mny bc tnken up Ly renson <br /> nllcy in �vhich they� mny hnve bcen Inid, LI�e3C,Ey��ijj�not h�e re�uired to furnish <br /> a'atcr during thc ro 1 strcet or <br /> n��Y thu, be rut Ofi,orebe 1 nble for����ny�dl,i,nses tnr its fnilurc�so�toSdo.u��1y <br /> APPlication A'o..........�!.f...�..Q <br /> ............ <br /> Glock........_�'.....n.... ............�...r..��7�.�f . . .. _ . <br /> ......... Lot.. / . <br /> No....../.0.�. ... Add....:.:....:'.'..'. ::....' . <br /> . . ......... . ... <br /> ' ..._.._.. <br /> ..__........ ..................Street <br /> ...._..._ . .... <br /> The �vorl: to be executed Ly......................................... ._.. .. <br /> _.__�� . ...._.............. <br /> St:�tu size of tnp. . . ..... ._.... ....._..._..PlumLer <br /> � Tnp to be inscrted in ttie mnin. <br /> . .z....... <br /> rJ G � <br /> �-�..L......R'nter closet / �� "� � ---- <br /> �� �� <br /> ......E........Cnth �j <br /> .:.�=.-c.::Urinul �/ <br /> ........_`.-..Plnin fnuceL insidc �-�• '2 &� �' <br /> .._.�.-...Sidc ���nik tt�nshcr <br /> �-��....Hose bib oulsidc <br /> �.-Ho�e bib tor 6uilding ��urpo,cs <br /> ...---�FIose bi6 insidc <br /> -��-.. Z3ib for staLle contninin � <br /> g....................stnll...................: :. <br /> �-.-:::..Numbcr o: persons in famil3• <br /> ...-�.......NumLr.r of rooms iu building � <br /> 'Phc premises nre to be used as n. . h ,� �S. <br /> 1'he owner of the premises is... _.__/w~�-��� <br /> . .....�_............... <br /> .Thr �i . ...... ......._.__ . <br /> ._...___........ <br /> Sen is..................._.. ............__.._..._. <br /> ................................ <br /> ........... ................ <br /> 's npplicntion, nithuugh .'g��i.� ^hnl ......................... <br /> .......... <br /> � �k lhe 5uperi� de� o[ t � �i °t �'� li�nding u on tUe Cit�, <br /> \ r Dc nrtment. � 3 antil <br /> Signed.....f... ' <br /> .. _.. ......_... - <br /> . _.. ... .......... <br /> �...-�d".'..:�— � ..... <br /> - ;��....ApPlicnnt <br /> _._19_...._ II _ -; <br /> � _ � <br /> � . .... <br /> ...... <br /> ' uperintendent <br />