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r �C-,._�I. ��r_.� � .. � .., . . ..
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<br />N•. n. Parr �—tsno—E.P.Co.—s ss-4�
<br />City of Everett�Wa�er Depnrtment
<br />API'LIC,�.TION,,,�FOR�� owp'TER
<br />Evm�clt.,,,,,,,,,,,,,,_eCi.R* C.—,_..._�..-��-.... .............192.�_
<br />TO TII� SUPERINTi'sNllrvCITY OF LVEI ETP DrPAItT\IliNT�
<br />I herebY ^DPIy for tl�c use ot w•nter in ncenrdance n•ith thc roles nnd regu-
<br />renson
<br />Intions u[ lhc Nnter Uepnrtment, fm pmposcs nnd f�r�°��9 s���t��t ��� cyt�cet or
<br />During the limc thnt nuS uf thc ��':�tcr mnineKm°Y �n or�af uny��
<br />of nnS ��"1'!'��'�°�P°is °U�hn�etbcen lald, lie C'tyt�vill not 6c required to furnish
<br />u��ev in �vtuch �l�ey m�Y
<br />��•nler dm�ing q�e PTaFre�s o[ such �m�n•oeemenle ta nny coa wner whose su�� �
<br />m�q� thus be cut oft, orp bhe,li/nble` ]for :my dmuaBes for its inilure so to du•
<br />Applicalion No .0.�✓ " / ` . .
<br />� ___._.: ...._... -
<br />Lot .
<br />. . ... . . Add...... . . .
<br />IIlock..... �� . - � � 'I �reet
<br />No..____.�Sly�f.�UG�/L�-� _..
<br />. . ........ ... . . . ..
<br />__�
<br />. ....._......
<br />_. .
<br />. _....__....._... . ._....Plumbcr
<br />,�"v�_: _ G ,
<br />Thc wm�k lo be c�ecuted US'.-.........- - �,c^ � ��.
<br />stnto s;zc ut tnn. � ✓• � ��, � ° �n /
<br />� Tap to be inscrted in the m�ia �•� � ��
<br />..��.._. ii
<br />.._f........\Pnter clo�et
<br />...�,�..,,,~...,l3nth � .
<br />_--......u��nni
<br />-� oi:c l `�. ;�����
<br />.._7.......Plnin Snucet in.=.idc G(Y GF C\'c'iL77 \�;��"' �`;'T
<br />._L=....Sidc �enik wnshcr 1'.•l ..................................
<br />................
<br />...f..........fluse biU oul�ide
<br />.,..-,,,�...Hose bib for Uuild�ng PurP°Srs
<br />..... ......Ilose Uib inside
<br />....... ......Bib for stnUle con[nining......_.._.......stnll..._...............
<br />.._.,,—...NumLer uf persons in fnmily
<br />.... _.,, .. Numbcr ot romns in building �L r�t � q� .
<br />{�c premises nrc to be used ns n . � ii��! ;
<br />,�...c�,�lc-�.,c%, cf..f��
<br />1'he a�ener of the Premises is . ................................
<br />. ..........
<br />._....._.__._..
<br />.......................__..._.... -
<br />"!:e agent is .... .......... • u �� the City, unti
<br />��..,•-.dian, °��tendtnt�ofnehe���l1der�Deparlments P
<br />. !� SnP/�� , Applicant
<br />�is,.ad.. ....�.. .. .�...... ... . . . _. �.. . � _ �er
<br />. . .. .. ... f
<br />��� �intendent
<br />/�-.1..�-..�sa,fi. nr. � ... . _ � r
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