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�.-, .. . . . � � . - Ge,..Y c w��A, h- . . . ." . , <br /> 1C.111'anna IGnu- F.1•.('o.-�r.:r.11 <br /> City of Everett�'�Uater Department <br /> AI'PLIC ti1'ION FOK W.ATER <br /> ,VI Ll:m�s mvst bc Lilkd in or croE,ed out <br /> — ��iy ,:,7 <br /> r.����•u_....__..... . ....... __.._.... .... ..._ <br /> �Pu T:!I: Fl7I'I::;I\'I';i\I71SN"C OR 1'lll: 1FATBR Dls'PAI[TDiF.\'f: <br /> CIT1 OI' I:VtiRI'sTT; <br /> I I:crrby npp!y for the usu �C��'atcr in ncccrJ.mce a�ilU thc i',�I�:+ :��"i ;����':- <br /> lations of lh^ R'nter ]�cpnrlment, tnr pw�poses nnd fixtures stn:r�l b��L���. <br /> Dm'ing thc limc that nny o[ thc �eatcr mnins mn}• be Lnken ��P LSt�I"�� :��1 <br /> uf nny imP�'uccmcnts authorizcd Uy thc Cit�• of liccrett, m or af nny + � <br /> ;dley in �chich they inay hnce Lren In�d. the City will not be required to furni�h <br /> ¢�;LLcr Jurinti the progrc�s of such improrcmcuts to nnY consumer ��'hosc �up:�',S <br /> moy thus Uc cut at[, or Le liable f�r :my damnges for its fnilm'e so lo de. <br /> 5700 - '�/ 7 � � �_ , �. <br /> Application Ao _. ... r . ..... . <br /> �Q.ee.L.La- <br /> ..oc6. .. . .... Lnt ... .._. ....__.. Add. . . . /.. � <br /> �l� � �� O U �),Jl,_.C(� ..... _Strect _ .. .. <br /> . . ._ , . � . _ ' <br /> . . .. . .. . . '7 -u�./ . <br /> _ / <br /> (� 'Lc .� 1rL[t��lu�i il�� i Y � <br /> I �.� a•ork to be c�ec�led by.➢1�.�.�.T�-`-� I- � <br /> V <br /> :�t:iLc r,ize cf tnp. <br /> r .. <br /> �... ......_.Tap to be inser.cd in the mnin. ., . � r <br /> �__.....Nntcr closet ' <br /> -.. ..—._Iinth <br /> .. .—......Urinnl <br /> r_ <br /> . _.__.......Plnin fauret iu:.,,do <br /> _.�-,..Side �culk �vn�Lrr <br /> Ilo=e bib oul��ii�,. . <br /> _�.-..._flose Uib for Lui!,lin�; Puri���..���= I <br /> ...--.--...IIo�e bi6 insido , <br /> ,-,...—..IIiU for slnble cantnining............._.....stnll___....._. .. <br /> ... ._..—.-..Numbcr of persnns in family <br /> ...<.3.._...Number of roonis in Unild.;ig �, , ,� - �7 <br /> 9'h, premises are lo �•c uscd ns n�j� /�w� �(�--�-%�—��.. .. <br /> Thc owner oC Lhe P�'emises is._C,.,,SLJ�.�....�`.�LG��ti��-Q�-_:*' . <br /> TLeagcnt is....._..................._... .....__._.._._.........._ ..... _._.._.._............_ . .. <br /> Phis npplication, nithou�h siFnrd, ahnll not be binding upon tUe City, until <br /> n,.ople,l Uy lhe Superintendcnt of the�J1Vnt9er Depnrtment. <br /> � �f�-�/��07�//CG�1.-/1__._....A hcurt <br /> �igned.... ....._ _... ........ .. _._..._ .. � - Pn� <br /> .��•,��„<<a � -/9 - � , � n>• �� � <br /> . � aPu'Intoudanl .. <br />