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�- .�_Ll�� _� �' 1 ` /�b l//! f <br />I <br />lC ll. 1'nrm b�-16Po—ti.P.Ca.—G -G :/ <br />City of Everett�Water Department <br />API?I:ICATION FOR WATER <br />All Ulnnl:s must Uo filled in or crossed out <br />I:ccrctt,..__"'...._..� � ��.. ..: . _.. .......�....._......_..102-.�. <br />TO TIIIi SUPliRINTE\DE�''P O' '•. N':�TtiR U�2T\StiNT: <br />CITT OP �\'7:liI:T'C: <br />1 Leraby npplc fm• the use ot ��:iler in n���ord;mce �cith the rules nnd re6'u- <br />Inliuns oC thc �1'nter lleporLnent, for �nnpo=ev cnd fistures stated hclun•. <br />Dm�ing lhc time thnt any of thc �cater mair�s may Lc lnken up bp renson <br />of nnp impro�'en�enLe authorizeJ 6y t.he Ciip o[ fiverctt, in or af nny street nr <br />ulle}� in which .liey nmy hn��e bcen laid, lhe City a�ill noL be required lo furnish <br />�c:rter during lLe prngress ot cuch improeements ln �mp consumcr �vhose supply <br />m:iy lhus Lc c'at otf, (o�r' be IinUlc] fnr anv dnmagrs tor ils fuil�re su to Jo. <br />Application \n...0...�.1.�....�/...._.......... ��!'i <br />� ` L <br />131oc1c ....._.� / � �../../L ot .....__. _ _........... Add......._ . ..... . _.._._. .... <br />Nu. � .�i� � . V..�� .��'��"-�"`�Street <br />. _ ... _ . _.._ . ...__ ... . .......... ........ . .... . _. .__. <br />Thc ��vrk lo be execul d bY .._.. . G rt G.�_ ._..Plumhr,� � <br />Stntc size of tnp. <br />�"li� — F«d; _ ���� - <br />.....�'1t-..Tap to Ue inseried in thc m::in. <br />... ... f _.....lPater closet <br />.......�........ Qnth . <br />. _ _.._—_Urinnl <br />. _.2--...Plain fimceL iuside ' .. <br />.__....._—.Side �snll: �cnslier . <br />.......... ..Ilo�c bib oulside <br />._ ..... ...]iosc bib fcr buildin6 Purp:r.;e: <br />__.%.._._21ose hib inside <br />._.......":__I3iU for staUle cont�ining.....__..._..._ e.talL__...._......... <br />..........:....I�umbcr of persons in fnmily <br />.- .J .Number of rooms in buildmg �1� ^ <br />The premises are to be used os _. J...l�!�' .___ / ...�%f i... <br />The owner of the premises is....��. U7n�C.t./u--��� L��.ct .�f.�:..!�` <br />9'he nRent is ..................._...._..............._.__._..........._.............._............__.................... <br />Phis npplicatian, nithouqli si�,acd, : hnll not be binding upon the City, until <br />nte<i by the Superintende t ot lhc Nnter Depariment. <br />Signed...L..--.._�.'.-..'�.`�.�....�. ....�.�n'"'........_. A licnnt <br />Acecpted._......../...:._..�..�..._192Y BY..C,<�/J/f.."L". ' .........._ •...... <br />/ / _���rintendc t <br />� � <br />