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and applicants must state fully and truly all the purposes for which the water <br /> may be used, and shall agree to comply with all rules and regulations eatablished <br /> or that may be established from time to time ; and shall further agree, as a con- <br /> dition precedent, that the City of Everett shall have the right at any time , <br /> without notice, to shut off the water supply for repairs , extensions, non-payment <br /> of rates or for any other justifiable reason, and that the City shall not be <br /> responsible for any damage caused by the breaking, bursting or collapsing of <br /> any boilers, pipes or fixtures, or by the stoppage or interruption of the water <br /> supply, or any damage whatever, resulting directly or indirectly from the shut- <br /> ting off of water. <br /> Applications for the use of water shall be substantially in the following <br /> form, to-wit: <br /> CITY OF EVERETT - WATER DEPARTMENT <br /> APPLICATION FOR WATER <br /> All blanks must be filled in or crossed out . <br /> Everett 19 <br /> TO THE SUPERINTENDENT OF THE WATER DEPARTMENT: <br /> CITY OF EVERETT <br /> I hereby apply for the use of water in accordance with the rules , regulations, <br /> and ordinances of Everett , for the purpose and fixtures stated below. <br /> During the time that any of the City's mains may be taken up by reason of <br /> any improvements authorized by the City of Everett, in or on any street or alley <br /> in which they may have been laid , the City will not be required to furnish water <br /> to consumers along the line of such main so taken up during progress of such im- <br /> provements, or be liable for any damages for its failure so to do. <br /> Application No. <br /> Block Lot Add. <br /> No . Street <br /> The work to be executed by plumber <br /> State size of tap. <br /> Tap to be inserted in the main <br /> Water Closet <br /> Bath <br /> Urinal <br /> Plain faucet inside <br /> Sidewalk washer <br /> Hose bib outside <br /> Hose bib for building purposes <br /> Hose bib inside <br /> Bib for stable containing stall <br /> Number of persons in family <br /> Number of rooms in building <br /> The premises are to be used as a <br /> The owner of the premises is <br /> The agent is <br /> This application, although signed , shall not be binding upon the City, until <br /> accepted by the Superintendent of the Water Department.Sig ed Applicant <br /> Accepted 19 By uperin en en <br /> -1 O- <br />