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W\ XForm; IMO—R P.Co.-626.24 - <br />City of Everett—'vV ater Departinent <br />APPLICATION FOR, WATER <br />All blacks must be filled in or crossed out <br />Everett................................. .............................102�!.. <br />TO TIIE SUPERINTENDENT OF TIIE 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 limn that any of the water mains rally be taken up 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 improvemmrts to any consumer whose supply <br />may thus be cut off, or be liable for any damages for its failure so to do. <br />Application No......... 7/3 <br />Block.......................1............... Lot......(................................. Add. <br />No ........... d�...ar7.a..�.......... <br />.. .. ..... Street <br />The work to be executed by ... --. - - .. .. .._. _. ...... Plumber <br />Slate size of tap. <br />_...... ..Tap to be inserted in the main. <br />.._............ closet <br />J <br />... ............ 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 1. <br />....... ........ Bib for stable containing ................. . stall .................... <br />... _........... Number of persons in family <br />........... .... Number of rooms in building l / <br />The premises are to be used as ! ..l�•• <br />The owner of the premises is ...... ................ A ..........0., ......------- <br />Theagent is...................................................................................................................... <br />This application, although signed, shall not be binding upon the City, until <br />accepted by the Superintendent of the ,M'aatt`crr Department, <br />Signed ..... C/F... ..�. ........Y V.R.O(.QEA <br />pp cant <br />Accepted.�.::..1_1--(............. <br />................. <br />p ml mlent <br />