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� 1 <br /> �� e- ,�.��,.,a.,�, <br /> _ . _,.. <br /> ,:.n.r,,�,�a-��snu—r.r.cv.-�r._�s� . .. <br /> �'i;:y of Everett--�`�Iater Department <br /> 1^-��_��-�I��.T�GN �OR �T�!'�,�` <br /> �li '�1��.:iLs must I�e filled in or cros;ed out <br /> 1�:t�erett�.......�l���lGc:/...�.�.. ....__ 1r;���:. <br /> /� ..... ... <br /> 1'�) "�i!��. :7�19-:1:12;',�4::.;:,!.:NT OI�' TH?. A!'.4TIZI2 DGPAILTSII;::-�': <br /> CITI OR liVEI2LTT: <br /> I Lereby xpply fm• Nte use of n�ater in acao:dnnce n'itL thc i:dc: :;id ;�agu- <br /> I�.:ii;n> cC thc ���ntrr Department, for purpuses �nd fis`.urc:; sL:ti��! b�I�.r;:. <br /> Uming ihe lirne thnt snp of the tc:iter mai�u m:�y be tiilcen up by rr::sou <br /> ui :ni7,' i�uproceme:!ts auNmrir,eS by tlie City of SSrrret!. in or nf any 3tre:�' ��r <br /> �il,•�; in wliirh Ihcl' tn:q� hnre bcrn lid. t}c City �vill not bc required to fur.�i-h <br /> .. ,. �r dw'in�; thc p'rogress r.f .^.urh imprm-cmrr,:s to aay cnosumrr �cl�asc s�.�;�plc <br /> ;:�.-'�� ihus- be eul off, o�r/Lc Gn�y41e for ::uy demnges for its fxilure so la da. <br /> .1�iplication Na....2f.�. 6 . <br /> � ...�.............. _ <br /> 1 � .I .._._ ..__. I o�t... . ..._... . _ _.. Add. . . � . � -. . .. <br /> \o _//��/ �. ......��. �...... . . . .. .... . Strcet <br /> .. . . ...._._ . . ... ....... _. ... ...._. . . . .. . / . .. _. ... <br /> � — , <br /> 1 s �votk to be eticcuted by... . . .. -. _, �lu�/m�ci� <br /> � —_ <br /> `t /ce,�auc of tap. � �0 --_— <br /> .c:..':/.....Tnp to Ue inscrt_d in thc ��min. , �,i i . :�; . . <br /> - - �.....� . <br /> ....../:.......��'nter cinset . . <br /> ,. � <br /> ' 'nch �� <br /> .__...........� . <br /> . _.._.-.-:.. , <br /> ......-.:........Urinal �.. <br /> _.:.':._._...Pinin L•:ucet insidr <br /> _. �'....__Sidc �vnik wn;hcr <br /> _-. _ _.._Hose FiL out=.idc <br /> _ . . __...Hose bib for Luil,lin� pnrp�..:rs <br /> . . ._._.IIose bib insidc <br /> .. .. ..._..Bib for stnble mutaini�g...__......_.__stn!I_.. _ ._ . _ .. <br /> ................Nurobcr of persons in lamily <br /> .....�<.......1�umLer of routns in buildin;; }� <br /> Ine premises nre to bc used ns n �✓L'�'� _ .. .. <br /> � <br /> J lie owner of the prer.ii�eF is��-�_4t � c..� _ _�� .�_c.;..�l,�L �Gt��(� <br /> �P��� ::gent is.........._.................__. ............__.........__...__....._.........._......................... <br /> i�.�. appiiratian, nitlmu�h si�,�ied, ::lmll not be binding upc '.he City, until <br /> � �p iiiv guperinten id o the AA'nter Dennrhnent. <br /> �q uid..._� /_ ..�'�4� .�v_ __ . r� PPlicnnt � �. <br /> . ._.-._��. 10� T3��. t� ���/�� �. _ _ _. <br /> ,u�:,.l u ic� urnt , <br /> `' �'.1 <br /> � . .�..a. <br />