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�_ —, .. 7 �t/t �-�% <br />W. D. Farm 4 <br />CITY OF EVERETT-WATER DEPARTMENT <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />Everelt� ................ ...............?.�'...�..............................1D k+.c/ <br />TO THE SUPERINTENDF.NT OF THE WATER DEPARTMENT: <br />CITY OF EVERETT: <br />I hereby apply for the use of tvater in accordance with the rules and regu- <br />lalions of the Water Department, for purposes and fixtures slaled below. <br />During the time that any of the water mains may be taken up by reason <br />of any improvements au�ho:�ized by the Cily of Everett, in or of any street or <br />alley in which lhey may hav^ bcen ]aid, the City will nol be required to furnish <br />water during the progress of such improvements to any cansumer whose sup- <br />ply may thus bc cut off, or be liable for any damages for ils failure so to do. <br />APPlication No.�.?...... �� s....... .�c: ,�. �,Z Ce_� <br />r� y..... .... <br />B1ocj�.yCC.`_...�<......... h �5l � <br />� '�._�liot ....................................... Add.._...�............................... <br />No.✓ ..................� / <br />.4'..6.:.........� :nar-rr-.cC4 �? r�...........i�I. �...........Strect <br />The work to be car.cuted by ...................... <br />State size of tap. <br />�..��......Tap lo be inserted in the main. <br />................Water ��loset <br />................ B a t h <br />................Urinal <br />... ..........._........Plumber <br />� ,.. ' � .�-L� <br />� � l�. <br />, y� ._ �ut Jtc <br />;,,i,r <br />•�/ �//r�'� <br />................Plain faucet inside � <br />................Side �vaP: washer <br />................Aose bib outside � � /��. � <br />L.,lc�c r � �G�C� ��:/`-,. ,-� <br />................Hose bib for building �rpo es«'��,� Gy'�.rc�LCcrL_st-E" <br />._ .............Hose bib inside '�i/, �L /✓la 3��% <br />................BiU for stable containing...................stall__................ �=3'�� <br />................ <br />Number of persons in family �., <br />.._.__.......Numbcr of rooms in building `"L'�''�G"� - ��' <br />The premises are to be used as a ................................................................................ <br />Thc owner of lhe Premi: es is ......................................................._.........................._... <br />TSeagent is ............._--............._......................................................................._............ <br />1'his aPP�ication, although signed, shall not be binding upon the City, until <br />acceptcd by the Superintendent of the Water Department. .. . ,�.- <br />�� l / , �� . <br />Signed' /.... (�.�:L�.:i_�r:�.C.:t��:c:��._�::.��.�':.:..�SPP�licant �. <br />....... �. ... <br />....... By .................................................................... <br />SuPcrinteudent. � <br />/ <br />