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•••_........... 1Num er 7-tersons in tat <br />...... _...... No b f rooms in buili <br />The premise a to be used as aa./. <br />Khe ow�it�o the premises is .... S <br />Pled .... �0..-..•2p.....=.... By <br />ruAz-.�,.9-�-�-fir «...tj.GS �_ �;_ab�a.• -A= <br />W. D. Form 1--V,00—E.P.Co--6-26.21 <br />City of Everett —Water Department. <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />Everett................................... _6/.......................1 <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 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 improvemenhc 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 progre3s of such improvements to any consumer whose supply <br />may thus be cut off, or be liable for any damages for its failure so to du. <br />Application No.......... <br />Block .................. . <br />Lot.......................... Add............... <br />......... . <br />_ <br />n ..................v...... <br />No.. ..(�.............ff. a ��/(! <<G Street <br />.......-- ............................ <br />The work to be executed by...._1..... .......Plumber <br />.............................................. <br />Stat size of tap. j r'. <br />.3�.er{...... Tap to be inserted in t remain. <br />.............. Water closet r <br />... ___....... Bath / <br />v <br />... ............ Urinal <br />... _...... _... Plain fauaA inside <br />• ...............Side walk washer <br />... ............ Hose bib outsid <br />.......... _....Hose bib for builds purposes% -¢..u� ` <br />•. ..............Hose bib insi ,�,�� <br />................Bib ford nt coninine•_... <br />/ Ix1t.L0 -r'. <br />be binding upon the City, until <br />n•t 1744 �-mi,/ 61d 1 <br />................................ . <br />� Applicant <br />