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z��-0 �ai. i r,-a. ll <br /> �,� ,���,—ro—fi_ . . • <br /> ���•.u.eo.,n 1—l:�on--F..CCo: G26_d � . <br /> City of Everett�—V�Tatei� Department <br /> 1�P1�LICL�TIOT7 FOR�W�'�TER <br /> pll bl:mks mneL Lc filled in or crossed uut <br /> O <br /> ...._�....................I�..... <br /> licmrolt............._........:...........�.�. <br /> TO 1'IIC SUPtiP.I\TliVllENT CI�' TSIR lOATSIi DEPAItTidliNT: . <br /> ctT� or �vc^�.�'r: <br /> I Lcrc6y npplp for Lhe tnc of�salm' in neccrdancc �cifh tlia rulrs nnd 1'cGu- <br /> latlonsllmiog thettime thnttanStof`t}.c�u��ler�msins m�yrbe laken I�'UJ' rwsmi <br /> oC any iv.provementa nuLlior2�d by the City ot Ecerutt, in or uf airv slreot or <br /> alle•_ in �vhieh ilicy m:p' hn�•e Lcu� In�d, ihc (;ity ��•ill not bc rcquired to furnish <br /> �e:�le: SurinR lhe proFre=: af such im^rocemenrK to nny con::ume� �cliose suPpl}• <br /> may thus Le i�ut o(t, or be 1in61e for :u�t' d-r.i���fo�r its failure so to cjo. <br /> q { <br /> � Applirnhon A`o....__ I �.��...�. .. <br /> I .. <br /> IL . ... Add._ . l� �.l l� .__.. ._. <br /> I31nrl...... .�7 �...... Lot.�._� _._... _ ,. _. <br /> \o...�.73 Z . .�'�—.. .___ _ _SUeet <br /> _.... ... ._.___ . . .. _.. <br /> .__.._._._.. <br /> . . . . __. ._..... .. . <br /> _.. <br /> .. . _....Pluml�cr <br /> TUe wo�6 to be es�cuted Uy.__ � - - � � �('�Q _ <br /> Siqtc e�zc of lnp. a <br /> ��/ .�._Tx to Uc inscrteJ in the mc�n• �`� � <br /> .�i�. r �Lj _) , <br /> ..�,,......Wn;ci closcf . '�•" <br /> �Iy i <br /> .....I......._Batli . <br /> ................Urinnl . <br /> ........_..._.Plain Laucet. iusidc <br /> .............._Side �cnik �•:ashcr <br /> .__._........Husc biL outsidc � <br /> ................Hose Uib tor buildi»g purper.r> � � . . . <br /> .__.._.......Iiosc biU inside ( <br /> „..............Bib fer staUle contnuiin <br /> g.._.__._._....slnll.................... ; ' �, <br /> / Number a[ persons iu tamily <br /> ....10....._.NumUcr o[ rooms in Uuildin;; <br /> The premises nre to be used a= n-. � �� <br /> A'"1'.�'"'�.._..._....._... <br /> 1'he o�vner of the ptemises is... _ _...... .. ... .- . <br /> . .........!.. <br /> Thc ngent is..... ... ...._. _ _ _.... .. . .. ._ . . <br /> ..._. .. ..... <br /> ?'his npplie.dion, nithou�.h =i�;neJ hnll noL be hmding upon lhc City, until <br /> �� ted by lhe Supciuden nl o( \\n�cr Depnrtmen[ <br /> Sisned.._...�..i��2��'Y!.'.. . r.......AyPI'mnt � <br /> IIy... �� <br /> /� / / <br /> /� . �n ...I <br /> `��� 4 "�I..dent <br /> ^d......._�..�_(/_._G���.. . ........ .. .. <br /> '� <br />