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W. D. Form 1-1600—&P.Co.-6-24.21 <br />City of EverettWater Department <br />.APPLICATION FOR WATER <br />All blanks must be filled in or crossed out. <br />Everett,....../"�(_/..AS ......� v........................19?...7. <br />TO THE SUPERINTENDENT Or-�1 WATE EPABTMENT: <br />CI Y EVER <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 -dated below. <br />During the time that any of the water mains may be taken up by reason <br />of ar, 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 <br />be liable for any damages for its failure so to do. <br />Application No .... 0.�:..77 .................... <br />Block ........... _...... _.. C.Y.-5 .... Lot. ........ _.%.Y ............. . . Add- ....................................... <br />.... <br />No ........ �'.."........ C%i.L:.4.v..!:c..G.'.(........................Street <br />.... ..... __....................................... - <br />............ <br />The work to be executed by ....... ......_ ;/G� ,tPst�bgr <br />State size of tap. U�J <br />.. �2.......Tap to be inserted in the main. <br />..../.......... "rater closet <br />.... ......... <br />..._....... <br />z.......Plain faucet inside �- <br />................ Side walk washer j <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 />_.:.........Number of rooms in building <br />The premises are to be used as a .... c,nti.._..................... <br />The owner of the premises <br />The agent, is ................................. V.......................................... .... .............. _. <br />.......... <br />This application, although signed, shall not be binding upon the City, until <br />accepted by the Superintendeg t�I epnrtment. <br />Siig�ned..X..............,.1/'//.,..............,F)* 7C� ......._ ...AppFl�icarit <br />Accepted.........,,1_..:...D.....1lIZ By ............ ....... .!Y...:f.� .... <br />Su�orin dent <br />