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, <br />i.�L'.. i— 6� R 7 117 i_ .t�,'�e�.}� �"� <br />N. D. 1'urm J— 13Un—E.S'.l'pt-G :G2d <br />City of Everett�Water Depa� tment r �; <br />4, - <br />A TTT ,ILATION FOR �A-�'ER <br />All blanls must be filled in or crossed out <br />/� q� ..18' 7 <br />livcrett,-...........%I.l�� .................................... . <br />�.RIYT�ITDCNT OR TI�G \PATER DIPARTl1E\T: <br />� CITY OP EV�RETT: <br />I LercUc aPp1Y for thc osc of �rnter in acrordanrc x•ith the rules ar.d reg❑- <br />IationsDuring tUetlimc tltnt meStof thc�v�iter main�s�ni prbe lnkc�aup�bl' rca���' <br />of nny impro�'ements nuthorized U}� tLe CHy oC licerclt, in or of nnp strec[ ur <br />uliey in which theg nmy Iun'c bcen I�id, the Cit ��•ill nut be requircd tu furnsi: <br />�cnter dnring the progress of euch imProvement� to nnY emisumer �cho�: =uCP'�.`� <br />ma}' tlws Uc cut off,� /o'r/ b/e/linble for anS• �1����nRes ior its failurc �u ;o do. <br />Applicntion A'o.Q..!�..Y.,_.:.._......._.......�l � oZ I <br />Block.............................._ ./.. ,. I.ot...._��..........._..... __ ... �Add/. �._. , _ <br />No..��c�G�._._�i11i<!'�9tra��Y� �-T <br />C����� �/ � � <br />. ,.(,,,.�.�.....��.. . .. • �..-�-.� ...._�. .iL��ce� ../:G �'-'-w(.-.fc. _� . .�-" <br />.. �'�� / .... Plun b,, r <br />the �eork to be executed by....._.�....���tr�o-- � ---� -��-- <br />� <br />S2tnt sizc of tnp. <br />,/�.....Tap to Ue inscrted in tlie mnin. <br />..,_(,......_�\'ntcr closet � <br />.._..�.........Bnth G.� � � . <br />� .....Urinal . . ._.Gc %?'. <br />.. ... .... �lA. , ' . . <br />...... L.....Pinin faucet insidc ; ! <br />.._..._-....Side a•atk �vnsher <br />......../.......Hosc Lib oulside <br />........-.....liosc bib for building purpoacs <br />,....._-.:.....IIose Lib insidc <br />................BiL for stnblc contnining....................stall.................... <br />........::.......A'umbcr of persons in family <br />....J.l.....A'umbcr of rooms in Uuilding �, n <br />The premises nrc to Uc used ns n_... .__..f�����'�"��,��� �� �� - � <br />Tlie o�rner of the Prmnises is_��?-...�. �..- `=- - r..�/�.-:` .. <br />. <br />Thcagent is ................_...................................._........................_✓........._..............._.... <br />Tl�is npP��cation, nithough si�nicd, shnll not bc binding upon thc City, until <br />ncmPtel by the Superintend)ent o[ the \\'nter Dep •tment. <br />Si6med_�:......._lL./: j �..... .......LY.._ .. ............. ..�...........Applicant <br />Acccptcd_._._._.......___.. __..1gP......'" IIy.._......._. 1 � .............._........ <br />. ._ .. .....__.........._�uperin.cr.dent. <br />