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,_ ..�.,: :: .:::. �. :,_ <br />� <br />� <br />� <br />,` <br /> ctc.».r.�:���.��nn--E.r.r.o.-c-2c.a • • � . <br />� � • ment <br /> City ��f Everett��7ater Depait. <br /> APPLI�ATIO� FOR. �WA��JR <br /> � All Ulanlcs must Ue fill__ e�1 ��°' cr°s`e� out <br /> 0 2,.�.......`�..��... <br /> ...._...:1'J2...... <br /> Everett.....................1.._ '.... <br /> 'CO THE �»P�RIN'P�NDP'.NCITY OF LV�i I:T�T;�}rPARTDI�LN'C: <br /> I lie::by nPP�S f�r ihe use o[ n�:�trr i.� arcorda��re;vilh tUe rules nnd regU- <br /> the time thnt any of the water m�ii�is mny be ta<<�n l�P UY I'enson <br /> lations of tlie '��'atcr llep.�ctment, for P�i�'P���s +n1 .�%�i"�'n�o�oF ��ytri,et or <br /> Purmg `'ccrett, <br /> �:ill not be recmred to f¢rnish <br /> oi .,��Y ���DTptC11�"-r.ts uvtiterir.ed by tlte City �f c�nsumer whuse s�iPP�� <br /> alley in �cliich ihcy moS Un��e bcen la�d, thc City <br /> w�ter during the progres: of such improvemenU: :o any <br /> maY thus Lc cu� ofi, or be liaUle for :my dmn:'Fe:�. for its fnilure so to �o. <br /> [ 3.............. __...... _ <br /> ppplicntion No.........,.._...`.(... . . <br /> Block....................................... Lot...�......._._._............ Add. <br /> __._._............_..- <br /> No......_ ..�_4�_�.3..�-....�..y"..�_.........................Strcet <br /> .........._.............._............ . <br /> ........... <br /> _......................_... . <br /> ....__.......................... . ...Plumncr � <br />� ._.._.._._._.._..........__..._._............. .. <br /> The worl. to be executed Ly....._. .... <br /> State size of tnp. „ }� <br /> / „ U'tl� _ <br /> ��_........_Tup to Ue inserted in thc main. �(✓t_ <br /> ............._\�'nter c'oaet . .. <br /> ......._.......Bath � /� �.� ...�'" . <br /> �r � . <br /> ................Urinal �L;. , <br /> ...._..........Plain feucr,t in��ide <br /> ................Sidc �a;dk wnsher . <br /> .__........._}IDse bib nutside � <br /> .._._...._.....Ilose bib for 6ui11ing Purposes <br /> { <br /> ......._....._Iiosc biU inside � <br /> sta:l._.__..__..... <br /> ................Bib for stnblc contnining.................... , <br /> ............._:;umber of persons in fami�Y <br /> ................Number of rooms in buildin • . <br /> l�e�e_c.c...!r_P......................... <br /> Tlie nremises ¢re to be used ns n/. .�,.�..n..,........... � <br /> The owncr of �.he prer.iises is.._C.�-�'�t'�`"`��.....�`�.J.'�'�"nl�-"� <br /> , <br /> .. .. . .........__.......................... , <br /> ..�e nEmnt is..................................................... ............. <br /> �d bykthc15uP�Alnt��tsonthe \Vatcr�Dicartment�, U� thc City, until <br /> I .......................................Applicant <br /> �, Si6ned........................................... <br /> ................ <br /> � ..... . ......... <br /> , ptzd................................._...792...... BY..._........_._.....................Superintendent <br /> i <br /> �_r__ _ <br />