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r' J <br />D. Farm 4-1600—F.P.Co.-6-M24 , <br />City of Everett --"Water Department <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />Everett....._.... .%...... _...... .......................1 <br />TO THE SUPERINTENDENT OF OTHE F E ERETR DEPARTMENT: <br />* CITY 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 slated below. <br />During the tine that any of the water mains may be taken up by reason <br />of any improvemen's authorized by the City of Everett, to or of any street or <br />alley in which the, may have been laid, the City will not be required to furnish <br />water during the /regress of such improvements to any consumer whose supply <br />may thus be cut off, or be liable for any damages for its failure so to do. <br />Application ,N1ogg......a.. ....._ <br />Block.. .............✓l.]. ....... Lot....t.�?........................ Add ........... <br />No ..... <br />.....�.....�-3�........�...... !^",••••.-.•............Street <br />_._.........._................. <br />The work to be executed by... .................. ........ .............. Ir ............ ..L....,.;�....Plumber <br />f y <br />State size of tap. w"�� X v'n�/ 7 <br />..Tap to be inserted in the moron. <br />7� <br />................Water closet fi!/ <br />_ .............Bath <br />................Urinal <br />................Plain faucet inside C <br />....... ........ Side walk washer �1 <br />............. Hose bib outside <br />.............. Hose bib for buil ling purposes <br />................Hose bib inside <br />................Bib for stable containing .............. .... stall ............ <br />_..... <br />............... Number of persons in family <br />................Number of rooms in building <br />The premises are to be used as a................ 4i/-2.................. ............. ....... ......... <br />. <br />The owner of the premises is ........ _........_. .--.—' <br />..................................... <br />The agent is ...................... ... ................ <br />............................................................... .. <br />his application, although signed, ahall binding upon 4 :i until <br />1I tcd b the Su erinte of the epartment. <br />y P� <br />j' Signed............ ... ........ •. ......I + .�.........._. NM <br />t <br />e ntendent <br />