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;yw�-� 3-n 2ti I�. �.�-L"'_-� �- .. . � <br />•, <br />1V. ia 1 nrm �—:I.00—E.P.C'.—L-2G.2� � ' � <br />City ot Everettr—�Uater Departmei.t <br />APPLICATION FOR �TATER <br />Ai! blanks must bc filled in or crosscd oul <br />r���«ir,..�/:.j�-• S is�... <br />......................... .......... <br />ro rttr sur�ninTrnDt:��r nr ��t3r �v.�Trrs ut;rntcTnte�'r: <br />CtTr or Lv!.iu;TT: <br />I heraby npP1y [or the u;e o� n�aLer in zcem-dnnee }�'�th Lhe rules nnd mgu- <br />Intions nf lhc 154i[er Depnrlment, fnr ptupnses :md [is'mes sb�'��•_' ���dua'. <br />D�ring the time th;rt nny of tae t�'ster mnins mnY �e tal:en up Lc rensmi <br />of anS in �rovements authnrizcd Ly .hc Cil3' ot LrcretL, in or oC nny .�trcet or <br />ullcy in �e�iich thep may U.n'c been la`d, lhc City n•ill not be mquired tu furnieh <br />�ea:er durin�; the pio�ress nt such im,^.rncementa to nn}' c�nsumer whose sucply <br />may thus bc ruL c:t, ur Upe IiaLlc fnr :�n}• dmungcs fgr its inilure sa to do. <br />Applicntion ko.__.....D � � .............��z_Q_,E._c.� � <br />I31ock....._ ..__.. Lot...53..._.... . .._.__. Ad-�d. ._,,_._.. .._. .� .. Q <br />Nn.'T".�.�"T . `_. . . _...._ ` �''l� ......Street i�(�-QC � � 7—�i <br />r �� <br />. _.._._ _.. ........�... � �.__...i. . . .._....q ....__._ _ ...._.. . . ..... <br />7'he amk lo be e�ecuted by. .. �.4��._. ....__ .Plumber <br />�Sta =;ze oi tnp. liy thio ❑pplication i r.�;reo <br />�.�_Tap tu bc inser[ed in ihc n:ain.t0 Cny Pot' th�: 1-�nbnll':L1U�� oI <br />..t1'ntcr closet n ciaLcrod cm:n�ction �n:i 1 fur� <br />_ .............Bnch tho� a�roe to pity a minic�um <br />of .. 3.U0 �� r ��onth oii t1310 <br />........Urinnt i;�,.toroJ conun!�tion ai3 agreod <br />��....Plnin faucct inside <br />�- ❑pon y,-b in Cl+v ': ouncil of <br />.� �Side n•nik ��•nshcr VOPO {..'� . . • <br />= -" � I' 1 � <br />.....11o=c Uib oulside , � r `..: l i � <br />...`-....:...Iiosc bib for buil;ling purposes r',�/+li :1 ^'r� t:� J <br />�;17V pi !.l,)� `�._% <br />�-.._liose Lib inside E4lREiT '�;AiE? p4p'I <br />... ........ <br />__ — . . <br />C} , <br />..... .........IIib for stnblc contmnmg....................sEnli:r:.:::,:::.,..,.........._.. . <br />.... .. ..Numbcr uf persons in family � <br />�.. 2:umUcr of roouts in bu�ldin <br />.... <br />The Premises arc to be used ns ry�. ..... _._._ �-�� <br />� :—S_ <br />The owner of the Prc�nise�s {iv �,..... ... ��L. .._..... <br />Thcngent is....._....._..........�..7....__............__._.__.... _ ....................................... <br />This npplicalion, althuugh si�ned, : hall not be binding upon the City, until <br />uccepled Uy the crmtend(c'nt of lhe \\'a�tCcr llepnrtment. <br />Si6ne�....�7 /'�l�L�1...�.__.._...........i .......................Applicnnt <br />/� /' <br />Acce, ted........3..—..1 .-.-__ .1'J2d... By.. `�. ���!/L..;Y���� ........................... <br />� -L Superintendent <br />