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i ` ��r�rni-��t7s-Ry. <br />W. n. Form 4—IG00—E.P.Co.—G-26�Y� <br />�+�-X - � y-/3-��! <br />f3r^-� <br />City of Everett^-Water Department <br />APPLICATION FOR WATER <br />All blanks mvat be filled iu or crossed out <br />�verett,........... '�'Z ................19a-�. <br />................................... <br />TO TIiE SUPERINTENDENT OF TH� WATER DEPARTMENT: <br />CITY OF EVEliETT: <br />I 6ereby apply far the use of water in accordance with the rvles and regu- <br />Intiona of the Weter Department, for purposes und fixtures stnted below. <br />During the time that any of the �vater mnins may be taken u� by reason <br />of nny imProvements authorized by the City of Evcrett, in or of any street or <br />ulley in which they may have been leid, the City will not be rec�uired to Yurnish <br />wnter during the progress of such imProvements to anS consumer whose aupply <br />mny thus be cut off, or be liable for nny dnmages for its failure ao to do. <br />Application No..........:�.Cl.�...1........... <br />-� <br />Block.............._�.�:?�.:�._...... Lot.........................._............ Add........................................... <br />No.........e�...l ....�_ rl ........... ......... .. .... . . .. .........3 treeE <br />The work to be executed by ............._................._._...._........._....._.............Plumber <br />St¢te eize of tap. �� � <br />..���.......Tap to be inserted in the mnin. � "� � <br />.......J......Water closet /�' <br />........!-.....Bath <br />.......—.-:..Urine] <br />....._.`..:.....Plain foucet inside <br />........—....Side wnik washer � <br />...._!�...Hose bib outside � <br />........ ...Hase bib for building purposes � <br />..... ......Hose bib inside / ;'/� ) <br />..... .....Bib for stable containing ....................stnll............._'.... / � <br />...._- .-.....A'umber of persons in family <br />... �� . <br />I........Number of roome in building <br />The premises ere to be used as a..,(�C1Ci .. ... � .. � ........................ <br />The owner of t6e pretnises is ......................� ...�.,............... <br />Theagent is ...................................................................................................................... <br />Thie <br />accepted <br />signed, chall not be binding upon the City, until <br />of the Water Department, .� <br />Accepted... _�.�.�...'. �.�..�.......:..�..- <br />