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4-._� -�-c� ( - r <� � - . . <br />��o% /I-IZ-=1��� � <br />N' D. Form 4. t5on--l.P.Co.-6-^_G21 � , <br />City of Everett-�Water Depai�tment <br />APPLICATION FOR WATER <br />AII blanks must Uc fillcd in or crossed out <br />�/:��� .. _ _��� . <br />e��r�t� .......................... _......... <br />TO 1'I:r SUP6RINTF.NDli.�'CITY OF tiV ] j�j'T;nEPAIiT\IE�'C: <br />I liereby nppiY for the use of �cater in accerdance �cilh Uie ivla^ nnd regu- <br />Intions ot ihc Naler Depart.ment, tor pmp����--s xnd fix'urc; stntrd ���;`°'rcason <br />lluring �he timc that :my of thc ��•ntcr mains mny be taken up , <br />oC nny impr����•»>�n�4 �uq1Orized bq lhc Citg ot E��crott, in or uf nnc strcet or <br />❑IIeY in •ahi�hthecPT° �es's�of such im ��rn�cmenls t�Inn}• cou�sum i�r��hose supl Y <br />�c:itcr �lurinl; 8' <br />mny thus bc rut ott, or Ue linble fm' srY ����»ages Lor ils inilure so to do. <br />�/I/ Jl � �� <br />p�ipLcltion No • <br />, `' .�,.. ..:,. <br />Iilock... �' � . .. 1.� _.�L...�.�" ..___.. Add._.._-� _. u . ,-_. ,- <br />... _. <br />..o. _ _� .3 .z 2,__ .a.k .��-li�c__ siT��t <br />__ <br />_ .._.... ___� <br />_ . .............. <br />_ <br />� ..__Plumficr <br />Tni wort to be eaccuted i --� �Qp //""1 "/. O• <br />�..•_�' L � .'.. . rt�� � <br />Sta4c e�rc �I 1np ✓ d Q!� i /-�`� � i// � <br />i <br />,_,�/y..Tnp to be ir.scrted in thc iD��; ��� � 7 <br />...._.L:...\Yntcr doset I ' 1[3111 <br />��� 0� � � ; <br />Bnth , EYEP.EjT YIAiER U'tF"' <br />................0 rinni ' <br />C1'....,... �........ ..� : . .. .. <br />...............Plnin Snacet iusidc , . . . <br />.__...........Sidc n'alk u�nshcr <br />................Hose bib oulsidc <br />................l�n:e Uib for Luilding purposes <br />.._..�.....Iiase biU insidc <br />................BiU for stuble ca�taining....._......_.....st��ll...___........... <br />................\umbcr o[ persons in tnmily <br />. � <br />................Kumbcr of raoms in Luilding n,� �� p ; <br />�f �iLl.��lC.'t-. .___._.......... <br />The premi=es arc to be used as n_�. ,� <br />7'he ot�•ncr of lhe premises ia_...._......... _.___._._.. <br />_._... _._ .............._........�,. - <br />........... _ ...................... ........ <br />Thc agenb is ............... ._...__........_....._.. B D <br />_ ............................ <br />This application, olthouFh eiRned, :<hnll not be hindin v on Lhe City, antil <br />urepted b� the SuPcrintcndcnt � f the Vsder liepnrtment. <br />igne . _, . ... ' �y <br />.. . . �l ApPJic / <br />...... . .. .. ... .. / � �/ _ J <br />� �`�-��f����g ' ndent <br />eceptcd ��/._p 3/.... i�z .. nY �. <br />j , , <br />