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(yvtd 1-r9-17-f2i. • %.�it�. a-� I\— 3 u_-,,':, t`a-.�1 <br />• ' .�. U. ]bnn d— L nU—g.P.Co.—L EG.+,d , ` • <br />City of Everett�Wnter Department � <br />�PPI,ICATIQN FOR WAT�ER <br />�111 binnLs mast Uc iilled in or crossed out <br />1'rerett .................._".�.A.'..v.!✓...�................17`�. L�. <br />TO TIIC SUI'CP.IN7'sNll�i:7' OR TI{"� \P.1^F.R PEPAl2TlIliN'C: <br />ciTs or �:��rrrTr: <br />I hcreby appiy for the usc oC n'�. �" in .iccardance �riti� the rcles nnd regu- <br />Icticns of the �Pater llepartment, for pmpn:-es nnd fis'ures stafcl bclan•. <br />During lhe limc lhnt r.ny oC t0c �ratcr n:i�ins m�p bc tuken up Uy renson <br />o[ nny iro�n�ucements nuthorized by Uie City ot Ecrrett. ia m• i�C nug street or <br />ullry in �chicU �hep m:iy h:n�e Uecn laid, the City will nut be required to furnish <br />�e:�ter daring ihc pragress uf simh imV�'��'ements tu nny rnnsumcr �vhose supply <br />m::y thus be cut aif, ovr Ue linble for �ny ndumages for its failure so to do. <br />Applicntion No.....n � y� / 07:'� � . -- <br />......_......__ .............. . � <br />+r _ <br />�lock...........%..�4 .�......_.... Lot...._....�....�... . �. �..... Add...........''�,.......�_'.�...:._._.... <br />n�o....... .... ._ �.� �. .....f.%�2.c�j2�... ._.scre�c <br />_. __.......__..........._...._._...___ __ ._ ....................._..................._ ........._.......... _...... _... <br />The worl: lo be esecuted by...._ ....__.. _. .__ .... ............................._.._..Ylmnber <br />SLatc size ot tnp. <br />,,.//z:_Tap to be inserted in the mnin. j� <br />� <br />_.._v....R'ntcr closet ,_�- <br />..... �... IIath :%" '� <br />....... �..� .Urinnl 1 C, <br />.._..%.....Plnin t:wcet insidc <br />......._-...Sidc �cnll: ���nsher <br />....._-�......Iloec bib outside <br />......_: -:...Ilosc bib far Uuilding P���'Po=cs <br />......�..IIose bib insidc <br />.......:........Bib for stnblc coutaining....................stali............._.._. <br />_ <br />.............Number o[ persmis in fnmily . <br />..,..%.-..-..Numbrr ot rooms in buiidin� j� � � <br />The prcu»ses nrc to be used as n..... ... ...._ Q�I.R-r�_ ��� -� �-� -,,��-/�- /�f�--��� <br />��wner of the nrer.�ises is._..._�..'..�'......�-���=FI���-��....... <br />,- :ent is ......................._....................._..._.__.................................._....................... <br />Phis nPP��cation, ulthough signed, ehnll not be binding upon the City, until <br />��pted by the Superintendcnt nf the \Vntcr Dep tment. <br />/ �'� <br />� Signed.f�---�,:i._�_!�G� _ti ............. _ ........... .Applicant <br />/ � <br />nted_.. ... _... w4�7.........192.�f+. B�•..... .. .. . ........ ........... <br />� �� perintendent <br />