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t�-<<1' G-K.-?6��'%� � "- ��.� . <br /> �c o.n��m�.-uoo_e.r.co.-�es-za . . <br /> City of Everett�—Vd�ter Dep�rtment <br /> APPLICATION FOi Wt�.TER <br /> �VI Ul;�.rl:s mn�t hc filled in or crosscil ,ut <br /> f <br /> livcrett.................___......._..... _��__......_ __......19��. , <br /> TO 1'llI•: SUPEI27NTIiNDIs?iT ON TIIE \PA'I'I':R UF:PAI:'f.'�ll:\'P: <br /> CITY 07' 1:\'liRL�.TT: <br /> 1 hareLy npPly fnr the irr ot v:ater in nccord:�m•.e �viiL the rules and re�;u- <br /> Inlions of lhc lt'ntcr DeFmKment, fnr P���P��?cs nnd tis'ures slnled hclow. <br /> Dm�inF iLe limc [hut nny o[ the u':der m�iins nmy Le taken vp �y rcason <br /> oC nny improecmenls Lll�I101'12C1I I)f LItC Cily ot I:ccrett, in or o[ mq• struel nr <br /> nilc)' i:� �.�hic�h thcp m�p hn�•c been Inid. Ihc City �cill nut bc rrquired ;o furnish <br /> �.cater Jw�ing th�� inrogress uf such improeemenls to nug con.;umer �.�ho>c nipp�y. <br /> may ihu.; be cu;. ofC, or be linble fnr any d:umiges tor its fnilure s„ to do. <br /> 44 8 '�` - <br /> ApplicJnlion No.........c ......... ... _........ <br /> 13toct: �:.I.�l� / 3v- �1 d-'./.__... ndd. . _ . .. . . . . . .. <br /> ......�...�I ot. ........ . <br /> \o.o�..�� �•....t-C1�2...�-A.-C-I..f�1L�Street <br /> __ ._.. .. . . .IV ._._.. . .... .. .. Q . _... ............... <br /> .. .___......... . .._.... .""._ .-'7 . <br /> iL� �eork lo be c�ecuted bt._.. R �. __.PlmnUer <br /> Rtatc sizc of lnp. � <br /> / '� �-(_�. <br /> ./�.........'Pap to Uc inscrted in tUc mnin. (/ <br /> � .....\\'ntcr clm:el �i <br /> ..�_..........Bntli \I� (� (p � l� .i . <br /> -._—...::..Urinal LT�•.rn�� � <br /> _�.�..Pl�iti fauuv'. insidc 0 '� . , � <br /> _..:-:_:..-..Sidc �cnll: n�nahrr - � �� ` '�� .. . <br /> � <br /> _L-...Ilo=.c Lih oulsiLe � � . �'� . ' <br /> ' ` . , t, �' ','.�.- . <br /> __.:�....-1Iosc bib tor builiing Pw•poses , . � r.. . .'`,, . <br /> . . .\:,}`. . <br /> . <br /> ....`..—�luse bi6 insidc �..�. , . <br /> ...... <br /> i..., <br /> -..---...Bib for staLlc contnir.in . sfill...... ���" <br /> g............_ .._ ._...,...._. �\ <br /> . {.. � ...Nmnbcr uf pr.rsons in 1�mily .. �� ..... <br /> ..�1..........\wnLcr of rooms in building ' <br /> Thc PTemitics nrc lo hc used ns a , L --- <br /> _—. L-�—� ._. . .. <br /> ��-.�- - . <br /> '1'he o�cner of thc premises is_ . , ---.. . -..-. -.. <br /> Thengent is....._................................................. ............_._._.._............................._._.. <br /> TLis npplication, nithough signcd, shnll not bc binding upon lUc City, until <br /> ncceptel by the Superintendcnt uf the 1Vater Depar:ment. <br /> i <br /> ' ...� ......., p�Cant <br /> Signed _.__...� ...... . . . �'7 <br /> i � }}}_- i <br /> . <br /> Acce��ted._. .��� ..�_79� I3p �.L: ��! _..-��5� �nden <br /> / ✓ <br /> � <br /> � <br /> � <br />