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�_.�p ��-�F- �s a� . <br />�c. n. e�� .:� i- � v.oa—s.ec�.—c :s.za <br />��-.=�.i L.� i �� - ' 1 - ' �= <br />City of Everett—•uTater Depaitment <br />APPLICATION FOR WATER <br />p�� Ulnul;s must Ue fillcd in or crossed out <br />��—/i — <br />� �..:F ...........................................10°: }. <br />Evc rcl t, ............ ... ... <br />1`p T[IP SliP�ftl\:�+�'PEVCITY Ol� �V'ER�TT;DEPART�4tiNT: <br />1 I�ereby n��p11' fnr the use nf �c:der in accor;lance �cith Uie rales nud 1•egu- <br />lnliunsDuring thclWnellthat�any oftllic u��ler mnii�s nmY�Lc tal:rn1nP'�Y rcnson <br />ullc:�in��vliicl� t�UeYtm:�y Il��nceLU�eetn�la�ct, Im}C�YFvill not�be requir�ed�totfurnicli <br />�r:.tm• during tlie p:o6ress ot such improvem����ts to nn}• con�umer ��•hose suPP�)' 1 <br />m„cA}Ppli nt�ontNoC'..OG7...>3iu,lc t� ��9 dunwg.�s forAdd.�flnilurcl,s�{�o..dal..._.,.... . <br />. � <br />Blocl........... .. /n ... / Lot � i <br />.../. _ p . � <br />, 7!� ti-. Y"�-.y, v�.......1 ........screct ,� ,s. .y ,L`G�eo��,p,...� <br />AO�....�......../ � �.. i/ <br />' � ... . <br />.. ...... .`.......�. S�' <br />.... ............... .. . . .... . . <br />... � . ...... ..... u <br />. . iiz.�'!':........ .Plumbcr <br />.. ��._ ...................`_..._..... <br />The �vork lo be execuled by...... .,............ <br />%U � 5 l �/ C- � <br />State ize of tnp. ���/I��' �'` • <br />,,,�..Tnp to Lc inscrted in thc mnin. <br />_ ���/ <br />................\Vnter closet <br />____- <br />................Gntli ; � , <br />--........Urinnl `�'� <br />i <br />_..../.........Plnin faucet insidc , ,. <br />.::_:.....:....Side �e:dk «•ashet <br />.......:.:......Ho=e Uib outeide <br />....::..--....liose 6ib for building Purpuses <br />.....---:..._Iiose biU inside <br />..,;;_�..-:.Bib for stable contninin <br />g ...................s tnll.................... <br />...-.;-�runil�cr of persons in fnmily <br />. ATumber nt rooms in Uuilding ,/� � <br />...�....... � <br />... .... .�` <br />TI c premises are to bc used ns n..... �i ;/_ <br />��-�%�..• }� ���1"�' <br />Thc mvner of thc premises i� Y-�""" <br />................................. <br />. ..... .._ `..__......_..__..........a <br />T',� aSent is....._..........__._..........._. <br />T' �PD���<<<'on, nithou h signed, ^]inll not be bir.ding upon thc Ciry, until <br />7 the Superin�c t o,p f th� Nntex� mrtment. <br />��y� � "�iplicnnt <br />'igred..� ................................_........................... � <br />.__.� � ....... <br />....:..........:'............192..... IIY............:: .: _......._._........SuPerintendent <br />