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r.�6' .� �3-� - 9� �,_.1�.� � �( 3 - i � ; . � ( � ,. ��,,, <br />W.G.1'orm�-13n0—G.P.Co.--;,.:G2� • � � <br />City of Everett�Water D��pai,tmens. <br />APPI.ICATION F�R WATER <br />All binnks must Uc filled iu or crossed out <br />Everrtt,..... .�.f.%7r+G.rtG. -.�.�.b ........................192 �. <br />TO 17IE SUPERINTlNDliNT OF TIIF. R':iTPR DF.PART➢IENT: <br />CiTY OP F.VEI:�TT: <br />I hercUy npply for the use oC �v;�ter in :�ccordance «•ith the rules nnd regu- <br />Intions ot the R'ater Deparlment, for pm�poses nnd fix'ures stated bclo�v. <br />During LLc time lhnt nny of thc w.�ter mnins map be taken up by recsou <br />oC any improeements nuthorized 6y Uic City of Lcerett, in or of nny a6reet or <br />alley in �rliich Ihey mny hnce been Inid, the City �vill not be required to furnish <br />a�ater during the progress u[ such imprucementa to nny consunur e•hase supply <br />muy thus Uc cut off, u!i/� `e� le or any dumnges for its inilure so to do. <br />Application No...,d..�.�...� ............. ' <br />Block...............q�._C.............._ I.ot..�s...%..-. �.G............ Add......... . ..._...... __......... <br />No.......�f�e7..�........G�.....L..wwl� _.. _......_....5!reet <br />.........___..._ ...................._............................._.................................... .. _. ._.......___........._. <br />1'he wark to be executecl by. .. ..... .. O ___..... ....Plumber <br />State izc of tnp. �/ �� ��- _ <br />.�..Tnp to be insrrtrd in th �nvin. i.'` .� . <br />......C...---_C,'nter closet . .... ...., Y I � : <br />.. <br />i n , <br />......I.........Bnth i:l'i'I � i:;t�� 1�.; f��ii ��.,,... � <br />F EVEREy(—yyl�i4lt I7`; <br />.......'-.-:.....Urinai ,,, �/� <br />......2......Plni� fnacet inside �. , ........ �� . ... ............. ._ .. <br />........-:....Side n�nik �vnshcr - � <br />.......1........Ilosc bib oulsidc <br />..._-......._Idosc bib for building purposes <br />......-.-.......iiose bib insidc <br />......-.-:......BiL for stul�lc conlnining ....................stnll......._........... <br />.. -.._numbm• ot persans in fnmily <br />. <br />...�........Numbcr of raoms in b�ilding <br />The premises nrc to bc used ns n.� . �. <br />��..a....... z... <br />_._.... <br />The a��mcr ut the premises is.�i.�_. . .. .� Ci .. <br />.. . _...... _ ....__...... <br />- Rent is ...................................................._...................____... <br />��licntion, although signed shnll not Ue binJing upon tlm City, until <br />' ihe Superintend/cn of thc R'/nt�cr D�e]m,rtm t. / <br />� ,Igned,.(......�,:l�%.'�iil<:_v..!�.......X�..... ... .....!.:`Applicunt I <br />. . .......... .. <br />g � � 1 <br />, y.:-../8'..:.._�s2� B� . <br />. ��. . L. . ............................... � <br />Saperinlendent <br />ti� . � <br />