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, <br /> o .,�. , r. � <br /> 1wM �"fL-41 - )� r�.r--'-^�-'�\ <br /> H'.P.1'n.�n�� IJun._F..CCa-�L-tr-."1 <br /> City of Everett�-Water Depaitment <br /> , ,. ;C �TION FOR `�ATER <br /> All blanks musL Le tilled in or crosse out <br /> .. EverMt,.......__..__.. �..._'.�•..............._1����. � <br /> . ......._.__._ . <br /> i SU19:RIRTENlli•:NT f�l+ TIIF. \CATI:R DF. AI:T\if5\'I': <br /> � CITY OIP 1:VICliI?T1': <br /> I hereLy rpPIY for the u=c n(v.':ilcr in aceordancc with the ivlcs nnd requ- ' <br /> IaLions of ihe \�'alcr llrpnrlment, fnr Pmpofes nnd fix'ure� FtnLed �����`��rra_on <br /> Dm�in� thc timc thnt uny uf Lhc �erdcr m�ins mnS bc tnken up <br /> o( nny imprnecmenLe nut}�nrized by the C�itp o[ 1?cerrtt, in nr of any sLreeL ur <br /> utle}� in w�hirh ihrg may hx�'c been lavd, the City x�ill not Uc tequired to furni=h <br /> �cxter dm'ing the pro�reaa uf surh improcementc to nnS cnnsumer whose supp�>' <br /> r,rip thus be eaL oft, or p6e Iia2Lle�fjur :iul' dainn�es fn� itn f�ilure xu tr do. <br /> Applicnlion No......D..7.?�^_._.__. � <br /> IIlock....._1....�.Zp_S �..�..1.. L-oryt-._-.1.��]�.:�e���. _. .__. Add ._. . ._.. .. .. <br /> No.._.�. 1 �..Q _.- W. RX,�-IJ-'�' .�C`..._Street <br /> __.. <br /> ._..- ......_..e <br /> _. . ...__..._.. ...__.._ _ r r <br /> 7�I�c �vork ta Ue execuled by .....1-1 � -'�'�'`-�� � . . . Piumbere/ � <br /> ��t,a/t� xize of tnp. �� <br /> .!(.�'�"�_Tnp La Le inserted in the main. \�� <br /> �v �'" 4 h�� <br /> ....JVnter closet <br /> .:.:.�..—:..Batn i� r��; � <br /> � ---drinal � <br /> . .�.Plnin fnucet insidc / � �.�6`,,� <br /> c _..—Sidc tealA u�nsher �� _ _,�✓"" <br /> ...._._._�I�oFe bib oul�idc ��YV <br /> �o i, C�"� <br /> . ____.�F9ose bib for building purpnses ,�p.� <br /> .--...�Hose bib insidc / <br /> . i <br /> _..� �ib for sleblc conlmmng...._....._._._xlnll.................... i <br /> _.�....._.....Numbcr of persuns in fnmily '� <br /> ..._.�...NumUer of raoma in Uuilding / <br /> Thc premiecs nm to bc uscd ns � n - . -/ �- ./ .. <br /> The ou�ncr of the P�'emiaes is �.5+�-CX-� � ���"�'�'�-...����(�, f/_�,� /�J71�<�O , <br /> The r�gent is.....___._... v���,`I"^^' `c 'r �/.-../,� /) <br /> . .....____. .._.. .. ..... <br /> Thiv nPPlwntinn, nllhouFh eigned, ^hrJl nol bc Uinding uPan Lhc City, Until <br /> necepted 6q the Super/m��dcnl of the Nnler llepnrlment <br /> �iRned�! .-��'��/1 Q"/`(/� ��1�� .�.�.�.�. APPI'cnnt <br /> / /�(,��f�LN« , �.�.. � <br /> Aecrpted �.. .-�/P .. _. 192'J. AS J / '"� .. >. � � . <br /> G��7 l' Ruprnntendent <br />