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..tix-c' i�-i�—)t� �_-.i-l.�.�_.. i �_ (., 7_ f.'7�� <br />�v. n. r��m� �--iacn- e r.co.- s-se.sa <br />City of Everett�Watei Dep�i�tment <br />APPLICAT�ON FOR W�TEIZ <br />NI Llanks mt:�t be filled in or crassed oul <br />Lrerett�...._ ..................._.... �l. L_............__..__.._..._..]f)2.L. <br />l'O T[SP SUI'liRINTENllr\T OF TIII: \�'ATIiR UEPARI'11liti7': <br />CiTY OI�' P\'EP,ti1'T: <br />I I:crcLy ntip�p fnr thc usc oC �catcr in r�cr��rd:,ncc �cith lhc rules . nd n�l;u- <br />L•�lions nC lhc 14ntcr Department, fur pw�pusc; and Ciz.ures st:dcd Lcic�e. <br />llurin�; thc timc ihnt nny of llm ��'Ncr mnins m:�p Le t:ikcn up Ly rcnaon <br />oC nn,r iniprovemente au(horizeJ be ilie Ci;p of Eccrett. iu or nt nny slreel or <br />aller in �chich '.he�� may hnce Leen Inid, ine City o�ill nut br required tu fmvis6 <br />�cnter during iho P�'ogress uf vuch �mprovrment:, ta any conr•umer �rhuse supply <br />nr:y thus bc rut nff, on c� liable for ::ny d;un�:Fc, for ils fnilure so Lo do. <br />r � . �7 <br />Appliration Vo..._......�_�:_....f.._........... <br />������.... �ij�� h� I // tio�--��- a z. _ aa�:: ,�,,. � <br />_., _ __ .. __. <br />\`o.. . �i!•'� 9 .V...... .. .. . t ._....._.....Slrect <br />._..__.. __._. ........ _......_ �. /f.._.._...... .._... <br />The w•o�k to 6e esecuted bY-.-. / . . - .- �C�" . . _..PlumUcr <br />/ <br />SLate sizc of tap. <br />�r , , J <br />.��- Tnp lo he inserteJ m the mam. �� <br />.. . �......_\Pnicr cinset ,1 / � <br />_J.. .._....n:�cn 1�1�, <br />._�..-....urival ,^ ._ Y�. ��-�, <br />r—� � <br />. � . I'lniu fnucet insidc y � " Ly � , . �1 � <br />.. .�....^.� � �cnllc wn,hcr ..r _ <br />_ r : <br />..'�.....Ilo��c bib ouL,idc Q.�n�`� T W�\i4.1. �..,, t <br />. .... Hoec bib fer building pilrj�o� �?�f�ET ,. <br />— <br />_ ._ ....IIn=e biL insidc �Y �'' � <br />........_..::_Bib for sta6lc conlaining .f...... sl� 1.____.. __. <br />..-:-.-.�....Numbcr af persons in tamilp <br />. -��. _......I`mnLcr o[ rooms in l�uildint� / <br />TPe premises �rc lo Ue used as n y C�'"""`.� --� <br />9he owner of lhe premises is ���� . �--..-. <br />'Plic ngenL �s ............. ... _ ...._. _..._. . .__.__. . _ __.._....... .. . . <br />'his npphc�tion, nithuu h�i�nid, :�hnll not be binding upnn the Ctt}�ntil <br />?ed '�e Lhe Supciintendr� oC U��'a' r Dep�rtmrnl. �. <br />Signed.... ..�..�... � �8����%7%L���..,lAPPlicant <br />_/—.- Lv . . . 2�O Y_ :��y�, � , _ ..... <br />Supermicndent <br />. . ".7`__ <br />