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:s � v -a7-.a.,- r. � <br />- _ ..._.X�.,1-d''i-' �- 'Y> I>-r,.� <br />4l'. Il.l'orm 4 -IGnU—E.P.Co.-6:G.2d <br />City of Evei�ett�Watei, Department <br />APPLICATION� FOR WATER <br />elll Ulanl:s �uust Le tillc<� in or crosseJ ouL <br />1:�•crett ................ .... ....1'J.. .^ <br />. . .........�. . .. <br />_ . . .. . .................. . �. S.. <br />1'O TIIC SUYERINTGNpisNT OF TIIR IPATIiR UI:I'ART]ICN'C: <br />CITY OG' 13VL•'12I3x'P: <br />i LereLy niipi5• for the use uf wnter in accuiYlnnce �rith the rnles nnd regu- <br />lations of thc �Vater llepm�tment, tor pm�i•nses m�l fi�;ures sh�ted bclon•. <br />Dm�ing the timc tlmt nny o[ thc a�:rtcr nuiiAe nny bc laken up b�• rensm� <br />o[ nny intproecments suthorized Uy Ihe Cil}' af Is�crett, in ar of nny slrcet or <br />ulley in �ehich ihey� mny h��ce Lern In�d, thu City u�ill not Ue rcquireJ to furnish <br />may thas �be cut off, o�r+ bc/linblc fmnnny�damugrs�for its fnilu�rc�so,tos lo u�����} <br />Anl:licntion A*o....d.[..�y..y <br />.................... <br />131ock.............................._ .... ......._.. Add._.................. <br />. ... Lot...../.._%_.......... <br />.._q. ...._......... / <br />\o.l.'�?1._G4�!c!•?A......!2'L:!.�{,./.�:....C�t..x-<.G�tn..0<f:9L527k %yy/w�/J/_Q �!��/.� <br />_ _ .......__.....__.1_':.� ��.._�1� �.�.1::.�_'.1.-��-..s.�...'i-.,�._..,�._s�, ............... � <br />............. <br />7'he �vurk to be executed by...._.__.___. <br />.. ._...�.. .. ....... _......PlumLcr <br />�.6 . <br />Stnte siza of tnp. - <br />����'/ /��' a5 ����v,t <br />ry...-9'np to bc inserted in thc mnin, �, <br />L� ' ."'i. <br />-�-...........R'ntcr closet �� D, ,� � : <br />....�.-........Uarh <br />..-�:....._Urinnl <br />.._L........Plnin f�iucet insidc <br />..-. L......Side u�nik w•ashrr <br />��� Aosc Lib out�ide <br />..._�.._ �_. <br />�__.-`.: I�Iosc Li6 fur builJing pt�rposes �— � <br />.._.........._FIose bib insidc " <br />......L..�.BiLforstaLlernntnining ...................slnll..............._... —'���.y� <br />. .. <br />L. � <br />.........lumbcr ut persons in fnnily r`. ± <br />' . -_ <br />. L...... Nmnber of raoms in building �Z.i r�' 'r f�: �/) � <br />�� P�'�»�ses nre to be used ns a ._.. (na „t�..�.�G�„ <br />ul.. Cr�......... .. <br />The ou•ner of tl�c premiecs is...�.. � <br />. ... . C4 l�i�-��L_.. .. ._ . . <br />The ngent is....... .. t <br />.. .... .. . . . . .... . . <br />-. .. ..... . ........ ......... ... <br />This np��cation, nithnugh signed Imll not 6e Umdmg upon :lie City, until <br />¢ccepled Ly tne SuPerintendcnt of th� �S.�tr.r Depnrtment. <br />Sign� . Z2�. % <br />ed . .........................._L...�a...�.?�:�..._.... Pi�' pli <br />�� Ap cnn� <br />n.�-:pte3.....��.....:.,� '...........1 �— /� <br />... ..... �� By.. . � .'; <br />._ .. .. . . .. <br />.... <br />—.. -. �4�erin tendent <br />�'. <br />