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^c�.�! 6_i'_�"._,� . - `�,.�v..>��d.. S -�(''S g�3�Y'o . . <br /> w.n.ro��,a-�con-r:.eco-c-:�:a <br /> City of Everettr-W�ter Department <br /> ,P�PPLIC��.�'ION FOR wAT�R <br /> p11 Ulanl:s mu:�t be— t����� '^°r crossed out <br /> . `�7aw�...../..b................is�'.. <br /> Gvcre� �................... ........... <br /> ...... <br /> TO THE SUPERINTliND�NCITY OF EVPi2STT D�PARTiliSN'1T: <br /> I liereby npP�Y for the use ot����ter in nccordnnce trith tlic rules nnd tegu- <br /> lations o( lhc 4'utcr DeP��rlment, tor pm�poses and fis!ares stnted bclow. <br /> in or of any sLrect or <br /> lluring the lime ttint nnp of the «^�tcr mains mny be laken up y ren=o <br /> of nnY �n�r ��ements nuHiorized by the City of �acrett, <br /> alley in �vh�� ihey may havc bcen lnid, thc Citc o'i1l not be required to furnish <br /> m�nSe U us�bc cut of[,or bc�liaUlo tor���nY ���'nGes�for its�tmlcu)ro so'togdo.UPr'}' <br /> , `�e2 � D. <br /> C <br /> �,'.R..::..... _........ , , , , <br /> ppplicntion No.......... . . <br /> 'r -. . �' .-...._.........__. Add..._.....,r_._..._.._.........___. <br /> .......'...........�... Lot.................�- ' <br /> Bluck................. , <br /> No..../az.O.e�..� _.- _. <br /> ,_...,...._.....S t r c et <br /> ._....................._.._.......................... <br /> ..........._.... ... . <br /> . <br /> .. ....._....._.........._.._..............._ . <br /> .._._ _.. .__............PlmnUcr <br /> _. .. <br /> ........_. <br /> TLe ��ork to Le esecute Y'�-��--��� <br /> State sizc of tnp. � <br /> �i J ,1 <br /> .dZ;.........TaP to Ue inscrted in the mmn. � y_ <br /> ..�",.__\\'nter closet \ <br /> � <br /> � ,,.. ......13nth ' �I,V i ` . <br /> �.....Urinul �/ � � � <br /> _..._.... `'� �.' <br /> ..Li...Plain fuucet inside I � `, <br /> _�.....Sidc wallc �cashcr �', -, � � . .. <br /> L; . <br /> ..._�..`..-.IIosc biU oulsidc � ' � I.,p�T <br /> ..--..��70=,; bib for buildinB Purpnses.... _. <br /> �"�' '.usu LzL inside I� . . . . . . <br /> ............ . <br /> . ....'�.,-31b for stnFlc containin <br /> g....................stnl ....._............ <br /> ,._._._,.�,-,Nmnbcr of Pcrsons in fnroily <br /> ,../;.,...,...IQumber of rooms in Uuilding � <br /> �—e� <br /> _._ _......__. <br /> .. <br /> The premises nrc to Uc used as a_ - � <br /> ... _........... . <br /> The owncr of the premises is.... ... :._ � - <br /> . .......................... . <br /> ... <br /> ............ <br /> The nGent is................................................................ ttl <br /> This nPPlicxtinn, ¢lthuul;h signcd. �hnntcr D�pnrments. Unon the City, vn � <br /> ^epted Ly Lhe 5nPeri{�tegdent f the " - APp��cant <br /> 1� .. .............. <br /> ......�............... .. .... ' . <br /> Sik:ned......�.......�.. �....... ,�..... <br /> . <br /> . .............. <br /> F:............�2...... IIY.......... .......� .........Supermtendent <br /> .. ..... <br /> .�.�� 1� ��_ ` !. <br />