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W. D. Form 4—I600—EP.Co.-4,26.2/ <br />City of Everett —Water Department <br />APPLICATION FOR WATER <br />Ali blanks must be filled in or crossed out �/ <br />Everett ...... ......... ...._421...................... ........ ..192A._ <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 wboae supply <br />may thus be cut off, or be liable for any damages for its failure so to do. <br />Application No ..... A....f6..f7................ <br />Block. ............. ..... .�r.............. Lot ...... . ........ ........... Add........................................... <br />No.........fj.%G_G...-........._/..1.�;.Y.c`A-;c7r'q .......... Street <br />................... ..................... .......................................... .... ........... ............ .................................... <br />The work to be executed by. .... /..L(/. ._ ......... Plumber <br />State size of tap. / O Q Lpi. 't(J 0. <br />..�.�......Top to be inserted in the main. <br />....�....Water closet <br />-- <br />.... ........... Urinal �_' ,.•�... � ,• �7��`�J <br />faucet inside -- <br />• •� ._.ua <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 />� _ xNumber of persons in family <br />�f'L......Numher of rooms in building Q <br />The premises are to be used as a......... ...... ....... ........ <br />The owner of the premises is......�.:�/..........w. .!....... ...... <br />Theagent is ..... ....... _..... _... _.... _...................................... _.......... _................... ........ _ <br />This application, although signed, shall not be binding upon the City, until <br />ud by the Superinten nt of the Water /Dep rttmen�t.0 -� <br />-..,-led... ......... ........._l4Y.�-f ...........Applicant <br />_.. 92...... By ........................................................... <br />• �� Superintendent <br />