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W. D. Form e: lu6—E.P.Co.=626-21 <br />City of Everett --Water Department <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out Ci <br />Everett. ...................... ..._( ... <br />................................. <br />TO THE SUPERINTENDENT OF THE WATER DEPARTMENT: <br />CITY OF EVE' <br />I herebv 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 Alp 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 whose supply <br />may thus be cut off, or he liable for any damages for Its failure so to do. <br />Application No...... ..f. . ............... . <br />Block.....lt`1.GG........./..............L/ot....1 �L.... .. ........ .. Ada....._....:._..:._ ...... .- ...... <br />...... <br />No .......... .�...... .4.......�1...Y.--�. ....... Street <br />The work to be executed byw.[L rs .... - t'mmber <br />State size of tap. <br />Y"r....Tap to be inserted in the G�„y <br />Water closet 0 <br />_C...... <br />t r EVkR �fAiER C j <br />I......... O' ... .......... .__... <br />...........Urinal <br />.....:--... Plain faucet inside <br />.... ...Side walk washer <br />..._I/. ........ 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 <br />.............Number of rooms in building <br />The premises are to be used as a.... .....:......... ............................. <br />....... <br />The owner of the premises is ....... ................ _. .. <br />The agent is ................................ ........�....... t,...... ....SC...['.r...' c.r- <br />....................... <br />a-'s application, although signed, shall not be bolding upon t e-City, until <br />pled by the Superin,W,pont of She Water Department. <br />.............. �:`..'.........192...... <br />-r-i -A�f <br />