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1 <br />W. D. Form 1-1500—F-P.Co.—L-26-2/ <br />City of Everett --Water Department <br />CATION FOR WATER <br />.11 blanks must be filled in or crossed /out <br />Everett...............!.... <br />.E SUPERINTENDENT OF THE WATER DEPAIMIENT: <br />CITY OF EVERETT: <br />I hereby apply for the use of water in accordance with the rules and regu- <br />lations of the Wnter 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 oily 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 <br />.lf, or ..�. _I�.b.�...f.or....a..n.. .................... <br />dml�..g� for <br />s f .n.ilurc.. so ...t.o....d..o.:. <br />Application No <br />Block ..................._ <br />......... ......... ....... ........... Add../_.......: <br />No .... 2I...._...............................Street <br />........................................................._........._........................................._ <br />......... ._....... <br />The work to be executed by..........................................................................Plumber <br />S�...N. <br />pyze of tap. <br />......Tap to be inserted in the main. o <br />-....�.........Wnter closet �O <br />...4...........Bath <br />..........._Urinal <br />...... ....Plain faucet inside <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 />...—.....Number of persons in family <br />-.- L..�........Number of rooms in building - <br />The premises are to be used as a .... lL.P-�-, <br />-y,...._-..... ............. <br />—21............ <br />The owner of the premises is ....... /.."_ I' <br />Theagent is.. ............................................................................................................... <br />This application, although signed, shall not be binding upon the until <br />accepted ry the Superintendent <br />of the Water Department. <br />[:.�1.... <br />Signed .......... 'l/l^ p <br />Accepted...... �.�.'.,�L.. .........IO2.... By y..... .. ..... fli. ..... <br />superintendent <br />