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W. D. F.,, 4 <br />CITY OF EVERETT-WATER DEPARTMENT <br />.APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />Everett..................................... .. .................. .......... <br />TO THE SUPERINTENDENT OF THE WATER DEPARTMENT: <br />CITY OF EVEREM <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 a% of the water mains may be taken up by reason <br />of any Improvements authorized by the City of Evarett, 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 sup- <br />ply may thus be cut off, or be liable for any darnalfes t3r its failure so to do. <br />Application No ....... <br />Block........................... ... . ....... Lot... <br />- <br />The work to be executed by ................................. .................................... Piumner <br />State size of tap. <br />................Tap to be inserted in the main <br />................ Water Closet <br />...........Bath <br />..... Bath <br />................Urinal <br />................Plain faucet inside <br />.............._Side walk washer <br />................Hose bib outside <br />................Hose bib for building purposes <br />APR <br />................Hose bib inside <br />. ................Bib for stable containing ................... stall ................. 4" <br />...............Number of persons in family <br />.,!5r ...... 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,4signed, shall not be binding upon the City, until <br />accepted by the Sup trite 590ft of the I Wa!V Depac'�Gent. <br />!_U7 <br />.... Applicant <br />Signe <br />. . . . . . . . . . ....... .... . Accepted ..........................................19....... By ........................................ ............ . <br />Superintendent. <br />.2 <br />