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W. o T­' n <br />CITY OF EVERETT-WATER DEPARTMENT <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />Everett ................. ....-.--,%............. .....19�..y <br />TO THE SUPERINTENDENT OF THE. TER 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 Water Department, for purposes and fixtures stated below. <br />During the time that any of the water mains may be taken Up by reason <br />of any Improvements authorized 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 improvements to any consumer whose sup. <br />ply may thus be cut off,, or be liable for any damages for its failure at, to do, <br />Application No fit. ..S . .......... <br />Block........................................ Lot .............. ............ .... ._. Add......................... <br />No........... I........ ...................................................street <br />The work to be executed by ... ........... ......... ......__...._.... _..... ................ <br />..Plumber <br />Stale size of tap. <br />.. 02..�... Tap to be Inserted In the main. <br />... .......Water closet 1 <br />........ ..Bath Q�b <br />. .... . Urinal <br />..............Plain faucet inside <br />.............Side walk washer y <br />..............Hose bib outsides 16V4 <br />t <br />..............Hose bib for building purposes I J <br />�2fiyrif4i <br />................Hone bib inside <br />if- urr r. <br />................Bib fur stable containing .................... stall ........... ....... <br />. <br />................Number of persons in family <br />.._.......... -Number of rooms in building <br />The premises are to le used aj a ........ .... ......_.................................................. <br />The owner of the premi,es Is...... _...._.._._...... . _._. _..... <br />Theagent Is..............................._............................................_....__.. _....... <br />This application, although signed, shell not be binding upon the City, until <br />accepted by the Superintende f.1he Water Department. <br />Signed /�.,.-_..................Applicant <br />Accepted.__.. _.. .._...................19....... By ... ...... ._..................................................... <br />Superintendent. <br />