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,�£...,t�l G—%6-1G-�.�. �,%-�%-`�'-'� ,� - - �.•:;' <br />, .,:,��--t:.r.[o.-�c.cr,.za <br />;; - �f Everett�—Water Depzrtrn�Ilt <br />a�;P�'_ ,ICA"1'iON FOR �TATER <br />All blanl:s mcst l�,e fiiled in or crosed out <br />livcrcl t........._c,/_.// �E�..... /_U ..................1!1"_�2. <br />TO Tllli SUI'BRINTi:N1�7%'�C1TT OP I:VPI'I TT;�liPAI'T\iliN'C: <br />[ herebY ��VP'•)' tor the u=e of �caler in nccnrdance �citF. the rules r.nd zegu- <br />lations o[ the 1Pater Deparbnent. tor Pu�P°`es and Cixun'es slated Lclew. <br />Doring llm limc that nn}' ef tho �calcr mnins m�S �� �°�cn up Lq rcasun <br />ulla���in��vhirh thectmay li�n�c�Ucco l�id, llie C Yr�ill����t�be reqnirc�d�to`furni=l� <br />❑; �} t}� Us'Ue �vt r,fC oCr U/e,ll:�ble�for�� ��n�� <lamngrs�for� i's�tnilnre� cn �to dn"'���ly. <br />Applicniion No. .0 7� � �......-........ <br />, �... � � I.ot.. 7� ....._. . ._.._ Add._... . . .. � <br />61uck..... . / . . ... <br />.! �/ � 7�. . _ � ' `i`�"r'C--`.._Strcet . . ._ .... <br />No.. � - � <br />_. <br />. .._.._......__...__ .............__._...__......__ . <br />.. . , . , ...Pl�m ��' <br />, ._. <br />Thc ��•ork lo be e>:ecuted UY -- f �. . O�- ... .. �(.t,/. . . <br />< <br />titnte sizc o[ laP• ��� . ����� � F' <br />i ;, <br />...��?rc._Tnp to be inscrted in lUe mnin. .. � <br />_.../...._«'ulcr closct '...� . � � ' .i:,:U <br />� ..... � � �i f,. ��,.. <br />......�......_.11ndt .. /'�.-+r,iGR [',_; . <br />�_ <br />. ... <br />�i <br />_... <br />. _.�_Unnul ....._._ . . . <br />.......�....Plain fnucet i;•. I,Ir <br />.. __�...... Side �cnik �c:i �P.�: r <br />......_�...._Ilo=c bib oul-i�l�.� <br />....... ....I:osc bib fur Ltr.l.!�r�;• ;�.�.:..P. .... <br />... _�.....Idose bib insidc <br />....... ......IIib for st¢ble contnining...._..._._ . >':�ll .. ... . <br />...._-........numbcr o[ persons in fnmily <br />...�. -NumUcr of romns m Umlding . <br />A <br />Thc P«011`es nsc to 6e uscd as n._ ., �� �/(�,�� ��,�, �� <br />The o��'ner uf thc prer�ises i��` �-- -���v"-` "'�—�����" <br />- a,.4p�._ . _.... . .... .... <br />The a6ent �s......_.......�:-.�..%�a <br />This npplication. nithuuGh i�ned. ,hnll not Uc binding uDnn thc City, until � <br />nccepled by the Superintendent of the Nnter Depnrlment. <br />Signed� // . _ .�./_ _... <br />._.. . APplicnnt <br />� Ili._1D2(p IIS .. `�� _. <br />^ . . . . �/. . . _. ........ <br />Acecpted_.- ��... � /, _uperintendent <br />