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W. D. Form 4 1500 3-1-17 C. F. <br />CITY OF EVERETT­Water Department <br />Application for Water <br />All blanks must be filled in or crossed nut rr// <br />Everett, ---^-----/-------__.191 .1--- <br />'I'll THE SUPERINTENDENT OF THE WATER DEPARTMENT, <br />CITY OF EVERETT: <br />I herebv apply for the use of water in accordance with the rules and regula. <br />ti nw of The Water Uzpartm rnt, for purposes and fixturea stated below. <br />During the time that any of the water mains cony be taken up by reason of <br />any imurovements authorized by the City of Everett, In or of any street (or Riley in <br />which they may have been laid, the City will not be required to furnish water during <br />the progress of such imprnvements to any consumer whose supply may thus be cut <br />tuff, or be liable for an am(age for j{vfailure so in do. % <br />Application N�.o:x-.. �._...//._ <br />Block .._�r----- —.._Lot.-:_J ----�""-----------Add- <br />No.. 2J-4d _.. C01— ���///��'a--__-_--Sheet <br />ti31-l._------------------------- <br />The work to be executed by---------------- ------------------------ Plumber <br />Stall. size of tap. <br />_Tap to be inserted in the mein. //•��� <br />-------- Water closet �Oy <br />._froth <br />_. _..._ ------- .Urinal .w <br />1 r -jjjjjjr <br />..Plain faucet inside ^I, <br />_._Side walk washer <br />--...._.._Hose bib outside <br />---------- Hose bib for building purposes <br />.......... Hme bib Inside eh <br />---------- Bib for stable containing ------------ stall .......... <br />---------- <br />Number of persons in family <br />---------- Number of rooms in building <br />The premises are to be used as a �_7.(_L �•(!tz": --- <br />The owner of the premises is ._OTd�--'-•------------ ---------------- <br />The agent is _ _--------------- ------- .----------- -._...___..-- <br />This application, although signed, shall not be binding upon the City, until Re- <br />-otMl by The Superintendent of, � <br />beWater epartment. <br />Signed -__._l�/. .. L .. ..-.-----Applicant <br />.. _ -_ ...._------------- <br />� ----. _. .._-..._191 EY- Surerlmendem <br />