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Jc-/rn/..y� F r, �. s, .i• <br />W. D. Form { 1500 ]d :' C. F. <br />CITY -OF EVERETT—Water Department <br />Application for Water <br />All blanks must filled in or crossed nut <br />Everett,.----•--•�''---...---. _.. <br />TO THE SUPERINTENDEN 6F HE WATER DEPARTMENT, <br />C 'Y OF EVERETT: <br />1 hereby appply for the ire of wate, in accordance with the rules end regula. <br />tions of The Water Deparbnent, for purposes and fixtures stated below. <br />During the time that any of the water mains may be taken up by reason of <br />any Improvements authorized bf the Citv of Everett, in or of any street or alley in <br />which they may have been laid, the City will not be required to garnish water during <br />the progress of such improvements to any consumer whose supply may thus be cut <br />tiff• or be liable for any ijamageii for it Idilure so to dn. <br />Application No... <br />Black q...__.Pt. .. _.. .............._ :L-7 ... Add .-___.._.... <br />------------- <br />------- (� / ........... Street <br />___ _______________________________-- ---- .... ­ ---------- <br />The work to be executed by. ............... ........................ Plumber <br />State a of tap. <br />-.. 2'__Tap to be inserted In the main. <br />...-....__Water closet <br />---..__Bath <br />........ .tMeat ------ 7-Plain faucet inside <br />.. _ _ _ _-_-_SWewage washer <br />....... I. -Hose bib outside <br />...... _.. Npsehlltor4mildml, nposei <br />f _.___-.._Bi1rLu itnhlesuntefningr.....------ stall .... <br />._._._ <br />.... <br />..._ Number of persons In family <br />---.. °.Number of rooms in building <br />The premises are to be used as a .... ......... <br />.. <br />The owner of the prembea is -------- ...... . .. _ <br />The argent to _......__ <br />This itpplication ,Ithouglt signed, shall not be binding upon the City, until ec. <br />cepted by The Superi•daodenl of the Water <br />Department. <br />Signtd_� .....A _.rGe- . _.._Applicant <br />dAccepte- 7- <br />aawnnlmdanl <br />