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4',�C-c: ��� _-- 7-li /"�' <br />`' u•� �i u - •. S k'j . . _ • � <br />lY. D. Porm 1�1'0��-F: o ra-G-2G-2J <br />T <br />Ci�,y of Everett�--�va�Er epaztment <br />AP�LiCATION FOR ��JA�'F�I� <br />,111 blanks most 'a^_ tillcd in or c�os<ed out <br />-- - / i <br />I3t'ere tt � .... .... ......_............. �. ��l...�."�.....7........ _.._... _..192r�... <br />10 171P•. SUPBP.I\TTA'PIiVT OP'Ilil; \\':\TI?R P':PA;::�Ili\T: <br />CiTI' OP i:� F.l;1:TT: <br />I Fcrc61' � Pi':p fnr thc tuc of n.�',a' ir .��rotd�:i ca �eith thc ralcs and regu- <br />intions oC thc 'ti�'ater llepartmenl, Sor iw o.�� :�r,� 'ictures slated belo�v. <br />Durin6 lhe ti.ne that m�Y �C U�.o u•: .cr mains n:ay Ue tuken uD Ly reason <br />oC :m,V im�rovem� n':s nuthm•ized bc the C Ig of I'sccr��tt, in or af :m}' sLreet nr <br />allep in ',chi^li ir� y ma; hm�e bec�i In�d. t}�.v Cit;� n�i!l not 6e requfred to furni�l� <br />�catcr durit:i{� t�.i�• �„�ogi�ess uC �urf� impr: .nrr�L: to nny con.umcr �vhosc suppiy <br />mny thus Lc rir u�i, or be li��bla ;or auy .3unu�6�-s tor it; Cnilure su lo do. <br />_,: � <br />Apnlicntion No..__.......,.....r'_: �._l...... <br />diodc...............�..���....�..........._ Lotl........._.._. . _. . ._ . .._ _ Add... __......_... .. .. ..._. _... <br />� ��_ � <br />D o......_..1,`%.�. �... %1 LC_. L/�!.'.._ .. l.:R..-.:r_..StreCt <br />�. <br />._.... ......._ ..........................._...........................................___.......... _....................._.. <br />The �cm�k to be rsecnted U}-......�%�:`.�_. _. ..._.._....Plumber <br />�t c �S�ca of tnP. <br />�.._�..Tap to be inscried�in t1w tnni�t. <br />.....�.........1�'nter doset ' � <br />._ ...:.:.......BnUi � � � <br />._ ,_�......Urinal <br />......L.,-.:.Plniu faucet insidc <br />..:-.-:-:.....Side n•alk �vu:=licr <br />..-:...._...._Ilase bib out;i�;: <br />._-L ..Iiose Lib for building �iurposrs � � <br />..`-...-...lioso Uib Inside � ' '` <br />_-:.-.:.-.-..-::liiL for slable conlnining.........._._.....stnll_..........._..... 1 <br />..:. .............Nu�.ubcr uf person:. in f;m�ily <br />:.:...........\umber of roums in Unildirg , <br />Thc premises nrc to be us<d ns n�. ...�-uA,4<�!rt....!-ac .,-/ ...._.._._..... <br />� � -C/ �-�-��y <br />Thc owncr ot tlic prcr.iises is..C.'.ttic?'-•� �7-1�-<.��.t-t ...... ..... .. .. �-O . <br />�6�„r. t5 ..............._ ......................_....... ° _ ___. . _.........._............................. <br />: npplia:liun, nilUough signcd, :;hnll not bc hinding npon thc City, ur.til <br />�'�y the Superintcndcnt ot lhc \Vater Depnrtment. / <br />SiR�:ed.._. _. ' �.r' _ �: �_ .. ..... . . ........Applicnnt / <br />� <br />f i <br />�.. . .:..:._ ................_....192...... Dy_ . . .............. . .. .. .. .. ........ <br />� Supermtendent y <br />