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�i..<.t C. r.� i ' ' ' � ` <br /> ��-<zs �� =i =`'�K . <br /> 1V.D.Form I-15��U—E.P.Co.—L-26�2! <br /> City of Everett—•��1�ter Department <br /> �PPL,ICATION FOR WATER <br /> ,\p blanks must be filled in or crossed out <br /> ----� / '7 <br /> ...................................192. ... <br /> �ceretC�........_...................L. _ / � <br /> 7'O TIIL�' SUPERINTliNACidCI Y �r PVE 2L'TT n�PA12T\IENT: <br /> i liereby nPPly for the use oi�cnt�r iu nccmd:mce��'i".h the rules nnd regu' <br /> Intions ot the Natcr Depnrlment, for Pv�P°`�' nnd fix�urt�� taken {��Ly renson <br /> Dm•ing thc time thnt nny oC thc �s'�ter mnms mny <br /> ulleY�in�wlii h theY�mapih�avuzbecn�lnul, h�a C YFvill not1Ue�required to�furnish <br /> muy thus�Ue cal tt nr�ie lir.ble fpo-n����Y�m�'nges�for�itLsjnfn'lure sollo5do.un��Y <br /> ApplicntionNo.....0��.!Er...D............ — 'Z'Z-S/ / �. .�-.i_.� <br /> l <br /> _. Add... _._.._.........._._._... ... • <br /> Lot...........:...... ..�reet <br /> _... <br /> Block.............................._........ _� _ , <br /> No.... ......�.0_�J...�''../�.,tiGs'� ..... <br /> _ _. .... .... <br /> .. . .... . �, I <br /> .___...._ . �� '�'�^�`�`L <br /> ... .._.......PlumUer <br /> 'Ilic �vork lo be executed bY._. _ . J4o <br /> Stnt sizc of tnp. ��/ ` �� .�{ —I' <br /> r" <br /> Tnp to be inserled in the �iiim.Inr) ` ' "", , �y;i <br /> .�-' .. <br /> _/....3Vnter closet CiTV OF EYEI?fTT WdTE� DCi"1 <br /> /.......Bnth . • <br /> ........ ,.;......... . <br /> .......�.�..................... <br /> ......'........0 r in¢I <br /> __.,_Z......Plain lnucel inside <br /> _..._�.....Side •.ealk �vnshcr <br /> ...../........Iiaee bib aal.ide <br /> ..._.�-...._Hose bib for buildinS Purposes <br /> ......—.....Iiose bib ineide <br /> ..;..�.-......Bib for stablc contninin <br /> g......._...........etall.................... <br /> ........�........ <br /> Number of Pcrsons in fnmily <br /> .,_„)._,......NumUer af rooms in buildiug <br /> _. <br /> .._..........___................ <br /> The Tremises nre to be used as a..... _-.- ������� -- � - , , <br /> The owner oC the remi=es is.. ` .-.�-� ..� .L.���'� .�........ <br /> P <br /> ; ....................... <br /> . .__..._.___..... <br /> ................. <br /> The r6ent is................._._......_... ............_.. antil <br /> T�i9s npplication, although signed, slinll not be Linding uPon the City, <br /> .ccepted bY the Su�ierintendent o[ tl�e Vnter DeP�rtment <br /> . . ...�...........:.......r PPlicnn <br /> Signed. ._,(i11....._ . . .. .. . � <br /> sy....(�,��s-t-,�f= � .. <br /> . .d....�.-._ . <br /> ..._-...........19� �uPer' e ent <br />