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Fnm, 1021-W. R: 2,QpP-adb'ai <br />APPLICATION FOR WATER <br />�j/ All blanks must be filled in —for crossed out. <br />Bloc''.. tJ/.... ... Add.'."/.`::'... Applic • „ o�. <br />�QJ .. <br />No...� 5.�...................Strcet Everett ...........� ..•....IOU.. <br />TO THE SUPERINTENDENT OF THE EATERETT WATER COMPANY: <br />I hereby apply °or the use of water in accordance with the rules and ree <br />ulations of the Everett Water Company, for the purposes and fixtures stated <br />below. <br />Daring the time that any of the Company's mains may be taken up by re.a. <br />son of any improvements authorized by the City of Everett, in or of any street <br />or alley in which they nmy have been laid, the Company will not be required to <br />furnish water during progress of such impr em 1ts to any nanmer whose sup - <br />Illy may thus be cut our, or be liable fo un ,e I f �I an to do. <br />The work to be ex cuted by......... . ...................... Ol . Plumber. <br />State size of top <br />/ VTnp to be inserted in the main. <br />,,,,,,•.Water closet. <br />, ,"" ..Bath. <br />�J <br />Urinau. <br />....Plain faucet inside. <br />Sidewalk washer. <br />........Hose bib outside. <br />„'........hose bib for building purposes. <br />bib inside. <br />„`,...]lib for stable containing...... stall...... <br />,,, Number persons in family. <br />...Number of roo Nil <br />bail i g.. <br />%.� ... r ... .... <br />The premises are to be used as a` . �„ - • I'I... <br />The mrncr of the premises u9...... <br />✓E� <br />....... <br />.. ............... ....... <br />Tilengrnt ia....................�'' " .... ^ APplcnnt. <br />Signed ......+i..vv.. •(.f` <br />(See other Side.) (/ <br />