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V.t: D. Farm L 1500 0-1-17 C. P. r <br />CITV OF EVERETT==Water Department <br />Application for Water <br />All blanks must be fi in or c wed <br />'�otl <br />Everett,_. �/F-- ________- <br />TO THE SUPERINTENDENT OF TAIYWATER DEPARTMENT, <br />ClTV EVERETT: <br />I hereby apply for the use of water in accordance with the rules and regula- <br />tions 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 of <br />any improvements authorized by the City of Everett, in or of any street or alley in <br />which they may have been laid, the City will not be required to furnish water during <br />the progress of such improvements to any consumer whose supply may thus be cut <br />off, or be liable for any damages for its failure an to do. <br />Application No.. 6 Y - 3---- --- / <br />Block .'.-`---- / �-----fut_- - 1��/2�_._Add. ! :_----- `-�-- <br />__. Street <br />The work to be execu•ed by ----------------------------------------- Plumber <br />ate stzp of tap. <br />-•• ____Tap to be inserted in the main../�p' <br />__� Water closet <br />---- Bath <br />-------- .Urinal- . <br />--------- Plain faucet inside "....:. ---------- Side walk washer <br />---------- Hose bib outside <br />---------- Hose bib for building purposes <br />---------- Hose bib inside <br />---------- Bib for stable containing ----- --- .--- stall __._ _.__! <br />-__ Number of persons in family IU{ <br />.-_ _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 signed, shall not be binding upon the City, until ac. <br />cepted by The Superintendent fpe Water fDe'-p-)��Jartment. <br />Signed _• _ ___(;//y1. ._ Applicant <br />.. .. ' <br />Accepted.—/ ;Z!p By ---• - ----------s---- <br />rlm------•-- <br />upeendem <br />r <br />