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� �-� . '� � " _ <br /> ,__ , . 1. . ,_ - . . . . . <br /> N'.U.Pnrm 1-li•CO-E.P.Co.-4-:G�21 <br /> City of Everettr��later Department <br /> APPLICATION FOR ti�TATER <br /> All U1nnAs must t�e filled i�: �r cros:,ed out <br /> . ._a...�..._....19°_&. <br /> Pvm�clt............ ....: '/f`v._�.�1.—.. <br /> TO Tllli SUPliItiNTlii:DLN���� ��';VEI'.liTT D�PAIiT:�IliV'C: ' <br /> I hcruLy r.PV�S tur thc usc ot e'stcr in :�ccordancc v'�th thc ivlrs nnd regu- <br /> IalionsDm�ing LhclCmo�thattnnS't�[ ihc u����er mnina map Uc taken uP'U5'. r��sm� <br /> of nnS ����P''0����nenLs autLorized by the City oC P:cur�tt. in or �f an} strceL nr <br /> ullrp in �ehich 'hey may ha�'e becn la:d, Lhc CiLy �vill not he required ta furnish <br /> may lhus,Uc cut ofC or 1 c llablc tor�anl`1an nF�9�f°ryta�fa'�ure so t�oSdouPP�Y <br /> 3 .-3./,.._...... _. �-J-�c C_r c. . / pO`f <br /> Applicntion No .. .. <br /> _ <br /> .. Add.. .., _.._.� <br /> 131oc6�. .. Lot ...... � y� <br /> _ .. <br /> � ' !H- . ...��t.,,c,u-�.�Lscet/3tic • v�f'.t�/�l <br /> �5��.,�.�,� d � ��� � _�2�-� � � <br /> �c�` ri�„�i,�� <br /> _._ _ . <br /> T}�e ��'ork lo be esecuted bY.-.. ..- -. -. n � <br /> �y ,, ��-_ <br /> Stxt• size of tnp. —� <br /> ��v:Tap to Uc inscrted in the main• � ' ` ' <br /> i .-._ � ' ' <br /> � �. ' . <br /> � r. <br /> ........._..._Nntcr daset . , ,. -, � . <br /> ''� " 1 1�1?R - <br /> �..' <br /> ............._BntU �,� � . _ <br /> �n r•.:, ::r�. ,,,��,,, ... ., <br /> .....Urinnl � �� <br /> .__..... .. <br /> _....__...._Plsin fnucet iusidc � <br /> _..............g�dc «•alk µ'ns6�r ' <br /> .__._._...Ilasc Uib oul�idc <br /> . ......Ilosc Uib for building Purpotee <br /> _ �..�........liose uih insidc <br /> . stall........_.__._.. <br /> ...._..._.....BiU for alable cont¢ining.......__.... ..... <br /> ........_..._Numbet of persons in family <br /> p��— <br /> . .._........Kumber ot rooms in Uuilding . �l`vt��`^�. <br /> Thc premises arc to Lc uacd es a..!- , - . <br /> /, /�`�� LY,L:Lfl� ....._. <br /> Tl,c o�cner ot the prer!mises ie...,..�(/- " � <br /> . . _...._........___....I.....................__._............................._... <br /> � ' is......._.._..__........ <br /> atior., nlLhovGh signed, sliall noL be binding upon the City, until <br /> SuP�T���E°� � o(fl l�p`�'�nte �Department. <br /> �� �J �.. .....__ .APPlicnnt <br /> ��iymed..� ..L.. r.. ` Qd/7-C/.1 <br /> /� /��,�""��. ....._..... <br /> AccePled. -lF!._::�.�.. . _I92�. IIy.._�-'�'-"'"J�" / Permlendent <br /> � <br />