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��� �JJ 3-v.l,>^'(''ny <br />L1,e -'r «;�v = r;'-.a o = L: . . . �--�� "`'"'^ <br />✓ � .. <br />14t U. Purm.b lauo—l.i'.Co.—�'=G-Y! <br />City of Everett--`�J�tei, Depn��tment <br />.P�P�LICA-TION FOR �A�TER <br />All blanl:s mnst bc filled in or crasscd out <br />_� � <br />�y �/ �� <br />!'� .'_.' `' `� ........19?._.. <br />I''.cerrtt�-......., y. .ra.. ;... <br />.. _. ....:.................. .. <br />pp 1'i'li � US'ITINTLNPrNCITY 0I'�EV�1 iPT;D��ARTilIEnT: <br />I hcrcUy t�PP�S' for thc �5t uf watcr in accordancc �citlt Lho �vles mid 7^6��' <br />!alions of the thettimntlinttn:cY`�C�thc u�:`ter iunin�s ni y�be Lal cn uP'�y rca:sun <br />During <br />ef any im�irovcuicnls authnri;:ed by the City of C�'erett, in or of nnp str^_et or <br />„14 e in �vhtch they m�y hace been ln�d, Lhe City �vill nut Ue rei�uired to furnish <br />�v,,:cr dnring Uie progress ut such imp:��'�'�»�'nte to nuS cm�sumer �vLose supply <br />n�,;,y thus Uc cut ott, ur be l`iable for ;:uS dmunBca tor its fnilw�e so to do. . <br />Applicution.No .�/ l�-..� ..... . . �' <br />�.ot l.s _l_4. <br />... Add. ...::".�" � .....__ ._. <br />Blo 1:.... 1 �� i.-� _.. '/c . <br />` �Q .`'J._.... �`. � . / .__.. ....Strcet <br />ho..:%,J ._._. <br />.__.........._......___... <br />.. ......... . ... .. . <br />......... - - <br />. ....... ....._.. <br />.._ _ _ . .. _ ' l )i�. . _....PlumUcr <br />:iu� ��oi6 to be exceute:: U} __./�i(..�/-'«�K;,, G G_ <br />Statc s�ze oP taP• . �S - <br />_�j.,.......Tnp to Ue iuscrt.d in Lhc m.iin. <br />,_._/,_..,,,_ A�'ater closet <br />.....�.........'ath <br />.....L......Urinal <br />_..2-.......I'I:�is f:�»cc,t insiic <br />.....�-.......Sidc ��,�all: «�;al�cr <br />._J....._...Ilose UiU oulside — ,: � <br />,_L,:.....iiosc biL tor building Pi��'Pnses . . � <br />_. �;......_Hose biL insidc � � <br />stall.... _ _............ <br />._4 BiU for stablc conlaining ..................... <br />�'�� .....Nmnbcr oF persons in fnmil3� � <br />. � <br />� . 'Qumbcr of romus in buildia� � � <br />...�-. ... C'�J`._._..... <br />�� �_... <br />Thc premises nrc to be used ns n_..- — <br />• ,�, �_c.L L.l<�s�.....__ <br />� ., �n�ncr of thc prmnises is <br />. . ................................. <br />. ........__........._......_..... <br />,1ent �s...._..__......._ ....................._. <br />..p,lication, nithough signcd.::i�:�li �ot bc binding uP�n the C�, :mtil <br />iy the Supci;ntende t oi tlre N�Depnrlmmt. �� <br />// <br />L.G1��?.U'"�1..._..... ApClimnt <br />Signed. .. ...... CvL :.......�.. . . _ .� �.. <br />. ...... �..�..... . <br />.. � ........ <br />//� /�i..._...._...._. <br />u_ -�..:Z ...-..-�:.�J...1D2...... BY�-� �� �� /V.Stnl�crintendciit <br />