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Y_..�Y.d i�.'L2 ��-1( ����' � ��1�I�J�11` <br />\Y. U. Pnn.� i. li.iio F:.I`.fn.—G:fi.2� <br />Citv of Everett�Watei� Department <br />,'�T .�CATION F�R WATER <br />A11 Ulsnks rmsl Ue filled in or crnssed out <br />— . '/ f <br />. I3wre.tt,._.... ...9�� 7 .. _. .__..lfr� f <br />_ . -.._........ <br />ti 7'IIF. SUPERIVT6NUE\T OP TII!: 11:�79?I: UIiPAI2T.11ii\7': <br />CITT OP' LGEI:ETP: <br />I CcrcLp npp:y tnr ihe u=c n[ �eatcr in acccrd;,��.cc «•ith Uic n�lc: :md ri�Fa- <br />IaLians ot thc R':dcr Dep:�rtment, fnr ���rpn:es �,nd ii�'ures sLdcd below. <br />During lhe iime that an)' nf the «'vtcr mainc may bc lnken u�� Ly ren�un <br />o[ any iirprucemenls ^u;hoiiu•d by Lhc Ci:)' of Iicrrett. in ur of .mS �treet nr <br />ailvy in which �hey m��y haca Ucco laid. thr Cily will nnt Uc :equired to hvnisL <br />�cr.ter �!urinL' t'.�e progress ut such im;�rocementa to nnp enn=umer �clmse suPPly <br />m��y lhu�� bu cut ofC, orG bc'71ia61c for un}' damnges for ils failure su lo do. <br />A(rplicntion Nu.__ Q..l��.-���..__._ _... — 7 •%-O �f <br />I31o�6 ............._.. � :..�.�.. I.ot �� �.. . .. Add......._. ...... ...____.. <br />__. .. <br />No._...J. �..3_a_... /G� _ .. . ...__.Strcet <br />.. ...__ ._ _._........_. <br />._....... . .. __.__ .. _ ......_. ._ .. .__ . _ . <br />.._......_. _.._. <br />. . 1'hc ��rork tu bc execuled 1� _ .. _... .G.� ..� -- -.Plumher <br />y __ <br />5 a�o .he oc tnn. <br />,�� _ .�;�, . :W . �� . � y } y <br />��_.Tnp tu '�a inserted in the niain. <br />__..!'.�...R':dcr cl��:et <br />_ ..2-c.._L'n�h <br />__. l ..._Urinal <br />....�._.Pl:iin f:mvc� insidc ' <br />. ... .....Sidc �ealk wn=hcr <br />...../._..liosr biU GuLsidc ' <br />.. __ ...liose bib fnr buildinF pm'poar� . <br />...._. _ Iinse Lib insidc <br />.. _.. ....IIib for staLlc eonlaining...._..._......._stnll........._ ._ . <br />..._".-.......NumUcr uf P��snns in f:miily <br />..._�.%.0....Numbcr of rooms in Uuilding ...,/� <br />The premises arc lo bc used as n. O (J � �,- �- -�- <br />7he owncr ot the premises is�C�f.��.,����,/C���%z-�!!��-_� <br />4 <br />Thcagent �s...........__. ...._ _....._ .. __ . . . __._...__ ... .................... <br />This applie;ition, nithnugh =iFned, rhnll nut be bindinF upon the Cily, until <br />nccepteS by lhe Superintendcni of lhe \1'ater Uepartm t. <br />�ignrdX.��?�/l� �� � ....Arplicnnt � <br />? �:�� <br />��� <br />Accepted.. . /�.n.._.I�L" U�� ! � .. I <br />G __......__... <br />.. �� � / �C����rrintendent / <br />