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/ I <br />! <br />��llC_? ::- . .. i C. ti.11_tiL_� �- �(t- , ,_ i � • � <br />\5'. D. Porm a-� IeUa-F..1`.Ca—G.CG2f <br />City oi Everett-��Uatei Department <br />APPLIC.�TION FOR WATER <br />:111 bl;uil:s must be fiiled in or crossed out <br />Evercit�.........._....� l�:r..��_....�..5............_........19° �e <br />TO 7HP �UPcP.:NTIA"Jr�i'f OF T#�/�'A'fP:It Ui:YA1tTl[Ii\T: <br />CITI OC liVEI:i:TT: <br />I hetcby apply fur the a�:c ot walc in accerd::nce with thc rulc, ;md regu- <br />Intions of ihc R'ater Dep��rtment, for purpo=�s �nd fis_ures stati�d hrlc�e. <br />lluring tLe Lime thnt c�ny of tlic �vu�cr m:�irs mnp bc lnken up by rcasun <br />oC nny imnroeemenLs r.uti.�icized by Lhe City� oC :-,c:rett, in or af ��ny etrecl or <br />nllep in �cli:rL ;hey mnp hn�•c bern laid, tl�c CiLp �eill not hc required to furnisli <br />�eatcr dm�ing the p�•oRress of sueh imprncemcnt, to anp cmvumer ��•Imse su�iply <br />nci}• tlius Lc �ut nf[, or` bc liu�Ulc Cor :�ny dam:�ges for its fnilure so lo do. <br />Ap�ilicatior No.....Q�.:3...5?._f_...... ' <br />� 3_ � <br />131nck. .. �.__:3 3.�._.. Lot ... Add.. ... ! .. <br />..., .... .. <br />� G / C �v�/ <br />No...... %!P �_/�. �J/--... J->' U t,c �/�.... __.Strect <br />.__ _ .. ........... . _. ._._...... . ._.` ._....... . <br />Thc e•ork to Ue eceeuted by GS Z�.� ..._PlwnUer <br />State size o[ tnp. � _ ��l � . � <br />...��1....._Tnp to be inserted in the main. ��� (/ r✓'(� �. <br />.....�........R`:dcr clo;el � -.� <br />�1 i� ` I i� q <br />......�........13nth I �.-.% r'e:� `�': �`' <br />. � ...._Urinnl 1 � ^ �'� '�'li U'`�•.� <br />.....�1.......Plnin fnuccl inside .ji1N � -^,... � C�..r� <br />_ ,.�, or ��Er, <br />.. ..._..__Side �cnll: �cnshcr - <br />;/y ......................._ . <br />_.../__....Iiose Uib outsidc � . �.. ......_._ i <br />_.__:_......IIosc biL for bni!Jing �mrpo:+cs <br />. _.._._.Ilose Uib insidc <br />._..:.........IIiL far sLaLle containing...._ _...........stall......_..__...... <br />.__.. ......\mnbec o[ persons in f^.mily <br />.. . F� _Number o[ raoms tn buildin}, `�, <br />Thc premise� are to bc umd ��s n.. �"� ��. � /�/ <br />^ ..... V ._.... .. ..... <br />�r. o'��me• o[ lhc prcr.iises �c.._.�?,l fJYl.r(!C�4�-t_� �C..(i.��.-*. �.� <br />� . l 14 ..................._..._........__.._.._._._............._. __ .........._._....................._..... <br />.�plic.riion, althougL signed, ahnll not fie himiiug upon Lhe Cily, until <br />r'� ,� ,h�� Superinlendent of l�Le A1':rtcr llepnrtmcnt. <br />Signed._ L'�_......._.�'���-�-"'��......_ .................._At licnnt <br />, - ._,lJ.-�.l� ...............192�i. 13Y_ _. .. . ......__.._ ..._.................. ... <br />%�� Superitricndent <br />✓ <br />