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W. D. rear+—icon—E.e.co.—szsse <br />City of Everett —Water Department <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />Everett. ................. ........�. �...........................i 92. <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 tiny 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.l a liable for tinydamagesfor its failure so to do. <br />Application No.. ....�.p.d,q <br />Block ....................... .. Lot.............-......................... Add.............. ............................ <br />......... . <br />No ..... (...r'�...�.......�� ...................Street <br />i <br />The work to be executed bY•••••••••••••-••Plpm�e j J� <br />Slate size of tap. �j ulb U C <br />t.t Tap to be inserted in the main.. <br />................Water closet P,,— <br />................Bath /.,,.izza 2„ <br />.. .............Urinal <br />... _........... Plain faucet inside <br />i <br />....... ........ Side walk washer i <br />............ ... Hose bib outside <br />................ Hose bib for building purpose, <br />................Bose bib inside <br />................Bib for stable containing .................... stall .................... <br />........... .... Number of persons in family <br />................Number of rooms in Wildly <br />The premises are to be used as a...p\ CKt... ,oad. <br />The owner of 'Ire premises isr.,.p�4J... o-t <br />Thengent is.......................................................................................... <br />This application, although signed, shall not be binding upon the City, until <br />accepted by the Superintendent of the Water Department. <br />Accepted ...... .r.��....-...1/.......-..... 10 <br />