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sal-10—HI, —lf <br />W. D. Form—1600—E.P.00.-426-24 v <br />City of Everett --•Water Department <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />Everett............:..G�! Gic ........... 2.(........... <br />....................... <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 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 supply i <br />may thus be cut off, or be ,liable for :my damages for its failure so to do. ; <br />Application No......!P..T.3............... i B <br />Blo <br />No.ek....f 7Lot �.._..� d..... <br />treat <br />.::1:::;_.�...1.........._.._ <br />..._................................................................................................................................................ <br />The work to be executed by.................92 ... ....o b.................................Plumber <br />State size of tap. <br />�?.�.... Tap to be inserted in the main.c^� <br />-............water closet 'yl AR t^�4^ <br />J ........ _ TK Wq . <br />...............Urinal , <br />................ Plain faucet inside / <br />.......... .Side walk washer <br />........ ...Hose bib outside ' <br />..Hose bib for building purposes <br />........ ...Hose bib inside <br />,......=.Bib for stable containing....................stall.................... <br />._ .Number of persons in family <br />.... ..........Number of rooms in building <br />The premises are to be used as a............................................................................._. <br />The owner of the premises is...................................................................................... <br />Theagent is ................... .................................................................................................. <br />This application, although signed, shall not be binding upon the City, until <br />�.epted by the Sup of the ' r Department. <br />Signed........ )..... .............. <br />._--. ...... .................. <br />Applicant <br />Accepted....r .... .... .... ... .......... <br />uperintendent <br />I <br />