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c-r 1 ist-dL. b - �. '. .. : -' �'�-:.� <br /> 'Z.._�� ¢..2227-1� . . <br /> 1V-d}.mm 4-IL00-k:.l'.C��.—•'+-=�.=� <br /> �i*-• of Everett--Wnter Departmei�t <br /> ?. 1CATION FOR WIyTER <br /> i All blanks nmst Lc [illed in or cro=sed out <br /> I '� <br /> , �' �"...........19?_. <br /> I:enrctt�-_.................._.._........._....._ ...__.... <br /> TO 'fllti SUI'SRINTI�.Nll1:�CITP OF EVli 2liTT:D�,1'�,', "I'�`. <br /> I 1mrcUp nppl}' fm• lhc use ot�catcr in aecordanec «�iC: the rules +md regu- <br /> Inlions ot thc 1A'c�tm� Dcpnrunent, (or pm�Puses mid Cistures sLdod bcluw. <br /> llm�ing the timu lh:it anS o[ the u�ater mains mnY bc lnkcn uP b}' rcasnn <br /> of nn>' impruce�nents auihnrizeci Uy the Cit}' �f 1?cerett. in ur of auy .Lrcet nr <br /> :Jleg in which thec m.ry' hnce been laid, the CitY «•ill nat 6e required to furnisli <br /> �cnlcr dw'ing t!'c P�'�Sress uf such inqirncements to miy cnnsumcr ��'huse suDPly <br /> may tl:uv bc rvt ofC, or h• 1ia61e lor anY <Imm�6�'s ;or ils tnilure so to do. <br /> ( 'O ` <br /> ppplicntiun \u....�.. 3..�......_._...... �/••. <br /> Q ' ......... Add..__..._ . .. <br /> 131uck..........`.'..:�..�..�mt..... ._.�..�.-.1 ( . _. ...... . . . <br /> x�..____3 `l a I _ L ' ._.. ....._scr��� <br /> _ . . . . � . <br /> _PT .._._. <br /> _ ..._ _. <br /> TLe �vurk lo Uc execulcd bv..... -. .°'"�`�� � <br /> rn,n,t,�,r <br /> S atc F��c of tnp. � <br /> I " � :�� <br /> .�..Y.__....Tnp ta 6e inscrted in the mnin. � °/��I `'' . <br /> ......�_._\Vntcrcloxt ��iv � j <br /> �_.� . Rnth I " � <br /> ...__..._....Urinal � <br /> � T <br /> ...._. .......I'Isin fnucet iusidc � <br /> . .._. . ._Sidc ��:alk �cnshcr <br /> __._......_3Iosc bib oulsidc �.�; <br /> ..... .__..IIosc UiU fur Luilding Purposc=. <br /> .. ........_.11osc bib insidc <br /> .___...._ _IIiU for staLlc contnining....._...........stnlL...... ..___.. <br /> ._....._.. ._Vumbcr o[ pc:sons in fa•,iil}• <br /> � <br /> ..C?_.....\umUcr of romns in huilding � �{ � .� �� �� • <br /> Tlie pr.mises nrc to Uc used as n / �^ '��-��—�---"r—���r' -��-�� --- <br /> Ti�c o��•ncr ot thc premi��s is. C/.� t'�n - {^��"`�'—�"L <br /> Thc ngent is._......_/._.... �.. . ._. . . ........._..._........._...... <br /> - <br /> . _..._�._,._.�. <br /> 1'his npp::cation, 1���u h R� �cd,� hal� � t�7l. ii� ' Pon thc City, until <br /> necepted Uy the Super iserf fXL C,tUe P' �p . <br /> /f i. <br /> � �- ���'����.. �.__ . _..._....ADPlicnnt <br /> SiSned...._...... .......�.......... .. � . <br /> t....... , , <br /> p- /�"'.....79°... 7iY. . �.�.°lf . ' ............._.......... <br /> :1 ecept ed_...O..,.'...��............... 7 <br /> � j� _ uperintendcat <br /> � � <br />