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J /�_ U- iLt .�1.. . <br />� � .� ' -� <br />\1'. U. Pnnv 4...IL4�—l.I'.Co.—G.:G:{ <br />City of Everett--l�7ater Departinent <br />�PPLICATION rOR �TATEIZ <br />.v' Llanks nmst 6c fillcd in or cro�sed out <br />P•.�mrrtt ..............._........................_ ��./.��..'..�!...............19° Erf t <br />� <br />TO 7HE SUi'ERINTEKilIiNT OG Tlif `3'ATrP. DGPART.l1ENT: <br />CITI OP E1'G]:ETT: <br />t i,��.�•vy� ����;}� r��� thc usc oC �r:dcr in ;�ccordnncc wi;h tlic rules nnd regu- <br />latimis of ihe \\'ater Ucpnc.ment, fer pmposes :md Ci�'ures sL•rted Lcbn•. <br />Um�ing thc time that nny ef thc �e:dcr mnins map be tnken up Ly rensmi <br />ot any in:prneemruls nuthnrizcJ L}• the Cil�� of l:crrett, in ar uf mip strect or <br />nlley it: �t�hi�•L �hey may hnce been I:rJ, the CitS ��•ill nut bc required to furnish <br />��':�te^ d��r;n�; the progre.cs of such improvemenL= to nny conxumer �ahnse siq�ply <br />msy thu= Lc cut oiL, or Lc IinUle for ::n}� d�n:aR�'s for ils fnilnre so tu do. <br />App �..nlinn \a � � O � � <br />I. _. _ .......... . ... ........_..... <br />131cck... .. .�t .. ._ �Lpot.� _�% � .. _._. Add.. ___ . .. . . <br />_. <br />No..-.<,�/ 0 ..._.. ��--C. . ........ Strcet <br />.._.__ .. ............... . ......._... _.._ _.._.........___ _....._..........__.............. <br />Tl:c �eot$ to Ue c�eculed bS...- �.�� �'*��-'����-eA--�..- -.....--Plumbor <br />Statc sise of tap. <br />.�„L_�_�_..1'np to be invcr.cd in thc mciu. � o 0 <br />— <br />.....�.._..._lPnter cloeet �y � ' � <br />_.. �.........B❑ch <br />._ _.. _.......Uriunl . <br />._...._.......Plnin Lmcet insidc <br />..............Sidc ���alk �ca::hcr - <br />. .._........liosc biU oul�ide <br />.. ._........Hosc bi6 !nr Luildinq pur�macs '.. . <br />.._.._......_Hns� UiU insidc � .� ' � . <br />.__.._......IIiL tor staLle cantaining........._.........stall ........:.... _..... <br />......_.._._.NumUcr uf persons in family <br />..�.......... Nmn6cr of romns in Uuilding /, �� , <br />7'hc premi=es are to Uc uscd ns n(� L'�`�.S ��-C_� . <br />The owner of thc prci.iises is_.. �}�G_.orre.A,a. _.._.�].��-�dJLi��.11 <br />O , <br />Thcagent is .............................__..._......_....._._.__._.....__._...................................(.. � <br />This npplic�tion, nithouqh siFned, shall noL bc binding upon thc Cily, unli � <br />bp Om Superintendcnt nt the \\.iter llepartment. <br />'igned ... i �'v`r.-'4� ' , 2v�V"�uiyYl.�nf_ _.__Appl}' mt <br />._�/ 21�-.. 192� By.._../!S<7�f��1�1' �.(J.�:G... ... <br />