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7 �� (, i�•`i' . <br /> �( .�...�V '_� ( t�� ' � � <br /> \V.D.k'nrm�-1600—F P.l'u.-6�26'2� <br /> City of Everett—W�tel Pepal'tment <br /> r�,PPLICAT'I�N F�R wATER <br /> All bl�mks must bc f�lled i=or cros=_ed out <br /> �' , �........192...la <br /> ���m�ett�................_�lli.�t/.. . <br /> TO TIIE SUPLRINTfiNDi%NC�TY aF j;VL'RI�TT;'E ' T'TnitiNT: <br /> I l�,ercUy aPP'F (��r tlie use of ��•ater in nccm•dimce �a•ith Lhc rules aitd regu• <br /> L rcnson <br /> lations ot thc \Snter DeparUncnt, for P��Po:es and fir.'.ures st.ated bc o�v. <br /> C,.1 m 1:�'emtt, in or ot nnY street or <br /> Dm•ing Uie time th:d an;' ef tLc matcr mnins mny be ta-en uP <br />�N nll Y in�which t7ieycm'.��Ytho�c��cenylsd, lia City ��'ill noL bc required to furnish <br /> e:atm• durinti thc pruFress of such inrvo�•ements to nnp COfi lurcrso,to dou�P�Y <br /> i»;:y thus bc cut ofC, ur c linble for any dnn'ng°s for <br /> �'S.3 � c:c c:=� <br /> ................... }, <br /> � APplicntion iJo.. .� . ___ Add.�f�� � � <br /> _ . . <br /> _. <br /> . Block........._....... .............. 1 <br /> Lot....... .. .........__......._.. �� <br /> . . �� r. '/..___.�. U. .1.....................Street <br /> Nu...._. ._ . ._. .._........ _............. <br /> � <br /> _..._ . <br /> . .._...._. <br /> ._..__. ber <br /> � _.._........�I' <br /> ......._ (�.. � .J —� <br /> q���i o�ork to be e..auted by � i <br /> Stntc sizc of tnP• <br /> ._..�._Tnp tn bc inscr'sd in the mn�n• <br /> .......�_.....\Pntcr closet <br /> ......(........Dnth ;-� . <br /> _._ �.Urinul ,..,.�•'� <br /> ......y....Plaiu fnucet insidc �,' <br /> .......�.Sidc «'�Iti ��'nsncr <br /> .......f....._.Hosc bib aulaidc <br /> � Ilosc Uib for bvildin6 P��rposes <br /> .._.:_....... <br /> ..._._�...ilose Uib inside ytnll............... <br /> ..... <br /> ,__�--Bib for staLlc contnining.................... <br /> """�///.Number ut I�crsons in familY <br /> ..(.}-..Number of rooms in building .....��� , .. .... ,. <br /> � �/-u�--.�/F�.����.�"� <br /> premises nrc to be used ns q-�-�- <br /> , . l 1 . < <br /> ,�- ier ot the Frer.uses is..gl`.F��UN����� <br /> ......................... <br /> , ._._..................._.........._.. <br /> -��,t is..........._....._...................._.. <br /> .plication, althouqh signed. =•1'nll noL Ue binding uP�n Llie City, unt� <br /> „��i�,«u �y ll�e Superintendcnt at thc \Vnter Depnrtment. ��cant / <br /> s /� ,�'+�.:a.:�m D"'%"�"��' ��.J ..�....APP <br /> Si ned .. . .. , w� .. __/ <br /> �� i �..... .... .. <br /> Accepted . .�.-- ����."1�J By � ' �' c���mrinterdent <br /> �. � , <br />