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� <br />,}.c,��.<<. `/- � I ,��l l:%ri� <br />tG,_�z-�l �i_.q..?-; ,� <br />�e. u. r�.:�,•+- �coo—s.r.a�— c �r, :+ . • <br />City of Everett�W�ter Department <br />APPLICATION FOR WATER <br />pl� binnks must be. tilled in or crossed out <br />—_--- �7 <br />... — _._.......1;1?..� <br />. . . . ....... <br />l:vcrclt,..........._._.._ ....._..._ d-. �..._ .. <br />1'O TIIE SUPGRNTtiNDf:NCITT OIt�14\`li'li�TT;U�PA1:2�IPsN.I•: <br />I herrLy npiily fnr lhe use of ��';�ier in uccm�dance wi�h the rulcs nnd rrBu' <br />Intionsllm•ing tl etCmic tl���t�nny� oC �tli Pu���ter mnm, (mnyrLe tuk�n' I�'liY rmson <br />ulll�in��rl�ich�thc��mRY>>«cUcenylasd, hc�Cty��cillnot�bc��equircd�totfurnish <br />mry thus �bu cu�t �,fC, oQr bc 1in61e'for��nnY` ��»�� ngcs�for� ils�Cu'lurc� su'tosdo upPIY <br />?_pplicntion No. 0 7S_,5...... - i�/G <br />, . I.oL. c?!/�_...... Add .. ._... �,..: __::.i �7 . <br />i3lock .... I°;.�'f � �� <br />. ....._Strret � <br />/� .. ...... . �. . .,� . <br />N°•��� O .� ��/�� �' _5 �,!�-G'. <br />liyrn-�-�� . �'�-.. <br />/L . .. . . � .._......._........ rh;n,Ucr <br />� _ <br />'fhc �vm'k to 6c executcd y.. _. /�� �- <br />i <br />State ize of tnp. <br />..��._..`%....Tnp to Uc inscr.ed in thc main. ,. . <br />...._.—.....Nntcr dasct . <br />i <br />............... 13nth <br />_.._....�..Urinnl <br />_..2.....I'Inin taacet insidc <br />........ .....Sidc �rnik �cnsher <br />...._J........Ilo�e bib outaide <br />.......-,-.....Hosc Uifi far Uuilding P��71O:;�•� <br />__.,._,—.�:..liose bib insidc <br />....._.. ...Bih fm stable contnining__ ................stnll_......_._...._. <br />_._._�._.Number o[ Dcrsons in fnnily <br />....._ 2:...NumUcr ot rooms in Uuilding <br />The P�'emises nre to bc uscd ns n.. -� _� <br />. �� <br />The oa�ncr of Uu prcr.�ises �s.. .w��«"`' r- � <br />. _ ........ <br />... . ... . ..... <br />ThcnHent �s ........................................_.._...... <br />7'liis application, nl!hnugli signed, shnll not be bimlinB upon the Cit}�, until <br />accepled Uy lhe Supecintendcnt ot lhe \1'nter Depnrtment. <br />. 1���, plicnnt <br />.. .. ....... . _ ... .............Ap <br />Signed.✓..."vYV��'1........ , <br />. . .. ......... 1 <br />�7 �... <br />.G�:�� jG,- . ...... <br />Accepted...__...... .....1^�-/'� BY.....(.� G�" �9uperintendcnt <br />; � i!" <br />� <br />