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0 <br />„ <br />��,,��a���_,,�� ;, s_ __, __,. �,—. � r��_ <br />�,..,�_,,:�,.,_,:.��,�_::.����. �_�.L� <br />�;it � of Everett��later De;��tu�tme�lt <br />n.PP�ICA'I'IC» FOR T�r� �'��.,�� <br />� All bl:ml:s i:mat Ue fiiled in or crossed out <br />� �/ <br />liverett�.......... �e-�+-...-.�--^-....__�___..._.._.....]:�'.�'. <br />PO TtI� SUP�RINTGNUL:N7' 0_- :IP �i:1'PER DPPART.IIli:i'f: <br />� C�TY OR EV�:iPTT: <br />I I-�c� eby :qiplY for thc rsc of �vater in accord:mre «ith thc rules and �rgu- <br />lations oi 'he \Patcr Deparhnm�t, for pw�Poscs and ficures ;t:rted brlr.n-. <br />llurinb thc [imc thnt any of thc �t•atcr mains muy bc tuken up by rca:�un <br />oC ��:y improrentents authuriull Ly the Citp uC licereLt, in or of any sLreeL ur <br />� Ilcy in n�hich ±hep rn!iy Imce beet� laid, the City will nut bc required to furni��}� <br />,�::ier during Uie progress of suc�lt improvewenCs lo anp ennsmuur �vhuse suPPl;: <br />ms, thus 6c.cut off, or /b/c li.ble for ::ny damagcs fur its failure so 1^ do. <br />Application A'o ��`�y.�- . <br />Gla�l. Lot � ... ...__. Addu'u..-Q�-�� (�..s - . <br />..... . ... _ _ . _. <br />\o , �O.O.�... . . _�� ...... _Street �. <br />_...._ ...._......._ ................._....................._ _ ............._..._._ _..... ........._...__ <br />— <br />Thz .,,m•k to be esecuted Uy.,�-�G.::,.� �-:�u�u�-a--:� _.._.__..P1wuL�s� <br />o� <br />State sizc of tnp. � .-- . <br />__.'.'.......TaP to Le inem•ted in the mnin. <br />_ _'........R'nter closet <br />__..!.........Eath � . <br />j. _.:..........Urinal � <br />_ <br />._.�.........Plain f:mcet in=idc � ..�. <br />. ............Side �call; �easLer <br />...:�........1io=c UiL oulsidc <br />__.._._.....Hosc UiU for Uuil:ing �ru�p�.�..r: <br />.. ..:_....._ Hosc bib inside <br />.__....:.-.:..Bib for stable cuntnining........_.__.__slnll_.._.....__._.. <br />.__.�......Numbcr of persons in family <br />.._. {�......Numhcr of rooins in Luildin� <br />� ic pre�uises nre to be used as a/� _.��-Q.:.. ` _ <br />Ih� owner of the prm�tises is_..1/_L�:.j/�.�Gv+-<.4(9LzlG t-�-=� <br />1'hc agent is....._..._......._ ..................._....._......_......:...............___...._._..................._... <br />This npplicntinn, �ilthau�h aiqned, chnll not 6e binding upon tim City, until <br />ac�epted by Lhe Superintu cnt oF lhc Ai';der Depm�hnent. <br />� <br />Si�,nedL�... . . .,.�j11„e��Q:2� r ...Applicnnt <br />/ i <br />:1r�rpicJ. . �-i� �.. ... __1:12.�F..' Bt'-.i,; i �T .� a ? <br />�( �Supa�infondent.�.. <br />