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�t.a,�-o s--�ro �d6 (t. y�L.I.A-('� <br />, W. D. I'urm f- � l'u0G-f:.P.Co.-L 9G21 - • <br />Cit,y of Everett�Water Depnrtment <br />APP�,iC1�T��N FO�?, �T.�.TER <br />111 Llan}_z must Uc tilled in or cross'ed out <br />I'secrett�....._...���..�.Cf _........_.._.........i!r?.. _. <br />TO TI1G SUYliRI\TL:A`UliNC1�Y OR BVP1:IsTT ������I2T\tliNT: <br />I hereby npP1Y fm• the u:;e of ���aler in nccardnnee �vith the rules . ad reBu- <br />lutions of tho \Pater Department, for purpoees :."d fisiu�res stated belo�'renson <br />During the time that any of tlic �valer nmins nmy be taken up b. <br />uE .ny imProvements nuthorized liy the Citp oC h•crett. in or of nny strcet or <br />:dley in which they may hace been laid, the City will not be re�uired to furnish <br />inc':y ll�us��b�cu�t utf or bc 11aUlc f��r unS, lanmSes�for��ts�fn'lurc�so'tosdo.Ui���'� <br />Applicntion No......�y0'S <br />_. <br />i + � � � - ......... Add.. ... . . _ . ... . .. <br />I31ucl. .. .._.... Lot.. ._... <br />No..�� O. � _�..oz� � _..........Street <br />. . -..... . .. <br />. ... . .....,. . . <br />.. . . _ _ ....._. . .. <br />*'i �ubcr <br />Tlm �vork to be executed bY. .- � : -� �� ��� �%' ���c�:���: � r�� <br />Stnte sizc of tap. � � - � r /�.( � � <br />i <br />f..._TnP to be inscrled in tlm mnin. �. �:� � Ly ; <br />.._l......... �Vate�r doset - �� i�. �. � 1 .�� i !,..t; -.., . <br />-. �......... Bath _ ._„_ . <br />Cii ( Ur c�i..r�TT \Y,'.! .I ' <br />..._ �......Urinal , _. // � <br />._ . ................ C.� <br />�......Plain fa,�cet in�icie /r� � .................. <br />_...�......Sidc walk washc; ; �, <br />.._.�......._Iiose Uib e�.L,itic <br />..._..-::.._iIose bib fm• Uuilding pvrgoses <br />..__. ..-......IIosc F�ib inside <br />_..... ......BiL for stalile cuntnining.._ ...............stali.____........... <br />,._�. /.....NmnUer of persons in family <br />, �T.. ..NumUcr ot rooms in bwlding <br />'Che premises nre to Uc used ns n .... ... �.� l....- -... <br />_ / <br />Thc owner of thc premises is.. .�iJl���`'�`` �� ��- '�2� <br />• .......___......._........_.._ .................................__. <br />:igent �s ..................._._.....__.__..... <br />npplication, iilthough signcd, sliall not bc Linding upon thc City, until <br />Uy the Superin6endcull of thc \Vn!er Department. <br />S�gned�../ . / �''s�s� �r.��GL�G .... ._. PPlicnnt <br />. ..... . ....... . .. <br />.i �.r.lC�. 102� I3y__ . . ; . ...... <br />'���� ����2���Penntendent <br />