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_.-�Llp .j. -� . . . <br />W��_y v.-.i i6 <br />�v. n. t-o�m �—�sno--r.r.c�.—� :s :� <br />City of Everett�—Watei� Department <br />,f�PPL1CATION FOR �TA-TER <br />:111 Ulanks must be filled in or crossed out <br />�— <br />�1 �c,�,�-..�-..�............ioz__.. <br />lit•eret ,___.._....._. . <br />TO TIIE SUPERINT�ND�tiCITY OF 1•:\ Gl'.ETT DEPAItTRiBNT: <br />I 1mreUy nPP�Y for the uve of w:�tm• in acccrd:mce �vith the rnles and re6u- <br />Intions o[ the �Pater Depnrtment, for pm�P�`es a�d ti�iures sL•drd bclow.renson <br />During thc timc th¢t nny ut q�c �v�ter mnins mny Ue taken vP by <br />alley�in�n�h cli t�he�tm�y hnre bcenyla�cl, hclCl } rvill not�bc requiredytoLfurn't.h <br />nay thus �be cu�t of t ar Uc liaU/lc tor�unY`•�11� n��h's�tor its�fn'lureTso,tosdo vnl'�Y <br />ppplication No.._.._�_g..l��........_..� �i�ir1 <br />... Add. . .....__ _..._..._.._. <br />I31 o c I :............ I..... <br />.........._._...._ I.at..... ._....._ ................. . <br />� .� .S -7 G ..... Street <br />No.. o . _ . _.- . <br />_. _ <br />..... _ _ . . ........ <br />� <br />__. <br />...... . _ . __._ . <br />.. <br />� .� . . ... ......P um cr <br />_ � <br />` Tlic �cork lo Ue execuled bY --�� - — � � • � <br />� �f� �t c sizc of tap. \ <br />�,��...,TaP to bc inscrted in the mnin• o � <br />_._,_—....«'atcr closet �i'��j �, <br />�I.—.:.........Bath . . . <br />, , i <br />`-..Urin¢l : � . -. � <br />....� ..� ' � _ <br />...._.........I lmn f:mcet iusidc . ��np�"`�..Z,•., <br />- ,..�E ..- �„t <br />....._.........Sidc n•nik �vashcr _, _ '�t.11Nlt�� G <br />�� ];osc bib ovLside . � y ......••• <br />..._........... ......- <br />r <br />�.Hose biL for Uuilding liurposrs , �i_- <br />..._.......... _. <br />.......:........IIosc Uib inside ' . <br />...........__�.Bib far stnUle contnining._....__........ �tall .................... <br />___� . ..—'-..-Numbcr ot persons in fnmilY _ <br />(o�r`._�........NumUcr ot raoms in Uuildin/y(� , <br />Th�� Premises are to be used ns n. ./� -� �-� <br />G_ �,tJ . -�_. –�..._ .. <br />Thc owner o[ the P*mnises ie...... .. <br />c-�'<,�� ..... . <br />, . ................................. . . <br />gent �s .................__..........._._..__.... <br />_ ............._..... _._... . <br />�.pplication, nithough siR»«�� �,hnll not Uc binding upon Lhc City, until <br />� Superintendent ot lhc \Vatcr Depnrtment. <br />'��,r.....ApPlicnnt <br />��Gned 7i �..�/�i/�„ . .. .BY.. . . . ..... <br />. .. � ) i .... <br />�... <br />.. <br />Accepted__... .... 1�2 �r -� /a`�' -�. pperintendent <br />� � �:- > v— <br />i <br />