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, <br /> ���1�� � , <br /> . � . . �; <br /> R'.D.Fnrm�—ISUO—F.B.Co.—L^.6�5/ <br /> City of Everett--�Water Dep,rtment <br /> ��ATION FOR VIATER <br /> �lll Ulanks nmst Le filled in or crossed out <br /> � �1 <br /> ��•crelt�................_..... ._.._..�i...._..�'.._�......._...1PY._.1.. <br /> SliPliRINTE1Dr:�T OP THF. \PATER DEPAI:T3fi:\'P: <br /> CIT7 OF EVliRETT: <br /> I hereby npp;p for the nse of walcr in ncrord:mce�vith lhc rules nnd regu- <br /> InLiuns oC thc Nater llepartment, for pm�pucus nnJ tix;w�at sLded brlow. <br /> During lhe limc thnt nny of thc �cater mnins mny bc t.�ken up by renson <br /> of nny im�irocementa nuthorized hp Lhe City of E��crett, in or of nny slrcet or ' <br /> nllcy in whirh thcg mny hnce been laid, the City �cill not Le required to iurninh <br /> �entcr dw�ing tLe prn{%ress of such impraremente fo un}• ron�umer whosc supplg <br /> mr�y tlms Le cut o:f, on c� liable tor any damnges fur ils fnilure so to do, <br /> APplicntion No....__..�...��. � � : J�'C.�J <br /> lllock... .:...: - . : Lot .. Add..._...._... <br /> /� ._..._ ... ....... _ . ._ __ _.. <br /> No....2 7./Q.._( (..e.a..��.QJLJ ..__ __8trcet <br /> ._._.. .. . __._..._......_._..............._..........................................._. . ._.._. ......_.............._.._. <br /> Thc �.vork to be executed b}•... ... ._._._ ._. :� . .._ _. . __ . _._._...Pluml�er <br /> Rtn xize of tap• I <br /> ,L r u <br /> . .-;.�.....Tnp lo bc inscrtcd in the ma:n. A J i <br /> r5 ' <br /> ..._�..._......R'nter doset '1Q ` ,- � �VI, � <br /> ....�...........B�tl� ��� <br /> ___ � ��� <br /> ._.............Urinul .W . <br /> �- o,... <br /> . ....._._....Plain fnucvt ine�dc <br /> ....-..-::.Side �calk �casLcr <br /> � <br /> .`_....-.-a�aee bib outside <br /> .:=—.-.:,Ho=e bib for building purposes <br /> ................I3nce bib inside <br /> __._-_ . . . , <br /> .....�,,,.,,...I3ib for staLle cm�taining....................stall.................._`. . ; .. . � <br /> .._/...:..-..-.:Numbcr uf persons in tnmily � � � � /��' � <br /> -.1�.---.-.-NumUer at romns in Uuilding <br /> Thc premisrs nre to Uc uacd s a � 1 <br /> �� , p� �+�-�-�-�-�... <br /> The owner ot tUc premises ic /u-�-{fi' . -P_.��.. n e D <br /> �R..��L_/ <br /> The ngent is....._...._..._......... <br /> ...............__...._..._._....._.........._....................._............. <br /> This nppficntion, although �ifincd, :Imll not be binding upon thc City, until <br /> nccepted by �he Superintendcnt of the R�nter Depnrlment. <br /> 1- �,c�� � �fJ . � , p /� <br /> �igne���....G=::{�.....T7%1.1......�l�.4.�-�t�1=.`-'�vC............Applicnnt <br /> i <br /> ......... .. .. ... <br /> � . � �-�+✓ <br /> Accepted._..t. 'eZ...:..T,9'..-...192.7. By._��� <br /> j / ......................... <br /> �uperintendent <br />