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IV. D. Form 1-1600—E.P.Co.-6-26.21 <br />City of Everett—a,7ater Department <br />APPLICATION FOR WATER <br />All blank must be filled in ox crossed it <br />Everett..... _.................._............................ <br />TO THE SUPERINTENDENT OF THE W!.TER 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 E•,erett, 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 auch 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 />ApplicationI......... 8.Cs 3...... - "*.*-1-10 13 <br />Block......... ......................./....,.�L_et..................<_............... Add............___:.....__........._.... <br />No....�.0..3.....1.. •.... ct "� .....................Street <br />The work to be executed by ....... .._....... ..... .. ..,.,_,Plumber <br />S to size of tap. C/ 'n^ . <br />,„,.. Tap to be inserted in the main. r a 0 1 ' <br />............Water closet <br />......... .... Bath <br />...! .........Urinal 1Y <br />................Plain faucet inside _. <br />................Side walk washer - - <br />, .............Hose bib outside <br />..Hose bib for building purposes - <br />-..... _.Hose bib inside <br />.... <br />------- Bib for stable containing.............._.etal��,.,::.ri: .. <br />.... .....Number of persons in family <br />... •?.......... Number of rooms in building ' <br />The premises are to be used as a ........ .... . .......... <br />............. <br />The owner of the premises is ................ .. .. <br />..... ........................... <br />Theagent is ................. .......................................................... .................. _..... <br />' as applic on, although Bigilea- <br />I/ehaB it finding upon the City, antil <br />by the erintendent o .the Wate •ent. <br />i <br />Signedl ................. .... .......... <br />.................Applicant <br />........ _. <br />- Superintendeat <br />