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iq— ; r� • � i:s ��� <br /> �,�.���_d. — �,. <br /> c,,:_���._,Q c,-i�. •,�, F^ ,.. � . , <br /> w.n.t'o����.-.icou—e.eco:—a-xc.za <br /> Gity;�of: Everett�Water Department <br /> APPLICATION FOR WATER <br /> All blanks must Uc tilled in or crossed out <br /> ---�— / <br /> . � � • ...192..4' <br /> L•'��ciclt�...._.....LL .14._(..:.�........._2...�...... <br /> / .:. <br /> TO TIIG SUPIiR1NCliNU1':NC1TY UFr%VPRL•'�TTDnIA1tT\Iti\T: <br /> I hereby :�pP1S [nr ihe u.e aC m�tcr in :�:�'�rdnnce wiUi tlm rules and regu- <br /> lluring Thc lime lhnL nny oi the ��'�'cr mains nmy be laken up bS rensun <br /> latiuns ot the Nnler Ucpnrtment, tcr purposo� md ticuu'cs .tnted 6e ��`'• <br /> n[ anS iniprocements nuth�i'ixed Ly the City ot li�crett, in or o[ nny strcuL or <br /> wnlcr�durn�g1ilhcep�'n�re snrf ueh unprac��nCn':� to,nn)LcunsumuirHho efsuPDY <br /> may tlms bc cut ot[, or 6c mplc�li�r nny uan'+:�rs fur its fnilure so lo do. <br /> � ., <br /> ppplicntion Nu...__�._�'�....`.::..:'...... ..... // , ��/ <br /> ._ l.ot._._�........._............ Add..C/�'��— / "' _. <br /> Block............... . ......... . <br /> t �/�,l���......5treet <br /> y' . <br /> No.'�%S.�l.<._._...U^'_ .. . . .. <br /> . .._.....__.. ............._. <br /> .. . ..__.. .... <br /> . ..._....... .. <br /> _.. ............ ._. .._Ylum6cr <br /> ... ..//�� . <br /> TUc wark [u Ue executed 6y___ .._. ��� .... <br /> � •, <br /> Slate izc �f tnP• � . � <br /> -?� <br /> 4..�.Tnp l0 6e inser.ed in Lhe m��n . �` I � i � <br /> . . f <br /> _... ._.._\�'nL+r cloact � �\�F{ "„i ��9��..i <br /> Ci i; pF EYERE � Wh� p;:p:� <br /> ......-.......Uath .�_- . <br /> .... ...._L;rinnl G1'.__..�.�_.._..<:............. . <br /> / _ _ <br /> _.."_:.....]'lain fn�icet� insiJc . <br /> .__,..........3idc �cn;k �en:,hcc , <br /> _...1 .....IIo=e LiL outside <br /> __._........_Hosc biL Cor buil;ling y�u'P��=�'° <br /> .�:"._;.......liosc LiL insidc <br /> ......_........Bib for �tnblc conlnining................_ stall......_.......... <br /> ....._.........Numbei of persons in fmnily <br /> =�:... ..Number o: runms in buildm L <br /> -Lc/J � .... � <br /> The premisos arc ln bc used us� � ��� ��y��C �-.L�! . _ � <br /> TLe oo'ner of the prer.iises is.. <br /> 4: . . 0 J <br /> _:................._... <br /> . __..................... . <br /> . _......................._......_......... <br /> �'he ag�nt is....._.......... until <br /> d Ip t�hetSuper'ntenir'utYid�thc�\\'�1tcr DePnrlmentF upon the City, <br /> � �, or�_. /1 �E+Pplicant/ <br /> SiSnci.. ....... ...__._�q.. , / <br /> . : <br /> / / �1`f/ �J�_..... ...... <br /> ,�,�s'�_..._.102(� BY_.�. ' � � hcrintendent <br /> � � � <br />