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W. D. rum 4-1600—gP.Ce.—s-29.94 <br />City of Everett —Water Department <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out {% <br />Everett.. ?71 ..,/ li%........_.......................192 . <br />TO THE SUPFRINTENDENT OF THE WATER DEPARTMENT: <br />CITY OF EVERETT: <br />I hereby apply for the use of water In accordance with the rules and regu- <br />lations of the We Department, for purposes and fixtures stated beluw. <br />During the time that any of the water mains may, be taken up by reason <br />of any improvements authorised by the City of Everett, In or of any street or <br />alley in which they may have been laid, the City will not be required to furnish <br />water during the progress of such Improrementa to any consumer whose supply <br />may thus be cut off, or aabe liable for any damages for Its failure so to do. <br />Application No ... ...... P...Q.S.0...... ..... % 13 is <br />Block........... r!... (..�.{o t...�...��............................ Add................. ..................... <br />No ..... 3.#1' . .... ........................Street <br />........ ............. ...................... .......... .... —................ ............ .............. ..... .................... .............. I. <br />The work to be c--ecuted by..... .... .............................Plumber <br />Stpte size of tap. Vf <br />" Tap to be inserted in the mr In <br />.......... . <br />...../......... Water closet <br />1 \../............ Bath ( / <br />`......Urinal ry <br />................Plain faucet inside <br />..`........ Side walk washer , <br />.7:......... Home bib outside :. <br />............... Hose bib for building purposes j 1 <br />...........Hose bib inside <br />....—........ Bib for stable containing ...................dell ... <br />._ Number of persons In fatally -- <br />-...........Number of rooms in building <br />The premises are to be used eo a. _..... <br />The owner of the premises <br />The agent is...................... ............. <br />........__.............................................. <br />This application, although slgntd, shall not be binding upon the City, until <br />led by the Superinten an of the ter Department. <br />Signed .......alL"'...............Applicant <br />........................192...... By ................ <br />.. ./.. ..., p <br />:�4— 2� u erintcndent <br />