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'z�U=a� 'i-, <� - �J7 �Jl..�n.c_c� �- _ ?i o -'ll� hi���\ <br />n� u. r�,.�� � � is„o_ .c.i .ca.--:,-cc .� � <br />City o�Everett--��:�ter Depai�t�tent <br />\ ' YI <br />�� 'P �ICATIC�TT FOR WATER <br />INI UI'inks nmst lic filled in or crossed out <br />' 6 <br />' �.,��� ��t ................ _.. _. _.....� �. �-. <br />_ __... _....3..�........... . <br />TO TIII: SUPLRINTI'sNUI?NCITY OF CVIiPI'sTT;nEPARTDII�.NT: <br />I Lereby ��PP�S fm• lhr vice ot �a�ntrr in acccrdance w'ith the rules a:i<i regu- <br />lations of lhe Nutm� llepartmen6, for purpu:�es and fixt�u�es stntcl bdo�'. <br />During thc time Lhat anS ut lhn �cater m�inc mny be laken ap Up rca=on <br />oi an}• imP�'�'+emenis aulhnrizrd bc llu Cily nf lcerutt, in or nf any nireet or <br />allry in ���hich they may h:n'e bec»laid, the City ��'ill nut be reqaimd ro .(urnish <br />�caler dw�in^ the P�'��R�'ess n[ such imprm�emcnls tu m�y cunsumer �vLo:;e snpply <br />may thus Uc cut aCf, or bc IiaLlc for uny dumages for ils inilure su to dc. <br />ppplicnlion \o.._....�.5.0_�'......... ....__. <br />. y� 1 .. .._._... Add.... <br />� " _ _. ...... <br />131uc6 ....._._c? t� .p. �....�_��Io�t...........__. . . .. <br />No....._._� � 3.f .L�-�!--�r5....�....._._. ...................._Street <br />...._ _...__..... <br />...__.. ........ .... <br />_ ........_........__.. <br />.`... � s_c__Q./� . .. . _.PIun.Ucr <br />'Ih� �vork to bc cxecuted Uy ..__ ___ � � C' �-���- <br />5 atc eizc of tnP• ` U� j" <br />�..�.�..,.....Tnp to be inscrted in Uie mnin. I �\�--��� <br />�-- . \Patcr closet � /r � <br />._ .............Bath ; � � <br />__ <br />.._...Urina ...� .. <br />� <br />. �.__......Plnin faur.et inside � .. .. '.� . ;. � <br />_ __._..... Side ���alk t��nsher �, i C�',' 1� . <br />..L-......Ho�c Lib nn4:id�: .........'�1� j , <br />.--._.._........Iiosc Uib far Uuil,ling P�rpo;es ... \• <br />-_.. . Floec htL insidc <br />...__....... <br />__ <br />_..._......Bib fcr stahln ronlai:�ing.._.__.......__stal ............ ._.. <br />Nnmhcr o[ persons in f:uuily <br />.�......Numbcr'of raoms in Luildm;; /� �,,� �� �Q � � � � ,, <br />The Pr�����`es nrc to 6c used ns n��\. (((jjj/-"'-'"'-`r�=� �"--% �--�" <br />The o��'ncr of thc Prci uses �s... ..,j-�"�u-...- �� � G��L "�( ������-" -- � <br />J <br />Tlic �gent ,s........__.._ ..... ......... . _. <br />_.. <br />. ..... . . _ _. <br />This r�PD�icaticn, nithvoFh signed, ^hnll not 6c Uinding nPon Llic City, until <br />ncecpted Uy tlie �u�crintendcnt oC Lhr �Ycicr �po�'tment. <br />.. [..�( Lt- v .' P'•�-�� dAPPLcant A <br />. 'gned . _..... .. .. ,-- . - - �-.y %9 i � / <br />/ . <br />� �% �Lf1/f1�'- <br />,\c�_ipted.... .11�... .. � . _197ki' , R}._ .L,..� �,.:.�i perintend�n[ <br />r <br />