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AY <br />W. D. Frrm { 1500 0-1-1 ] C. F. <br />CITY OF EVERETT==Water Departraetit <br />Application for Water <br />All blanks must be filled in or crossed out ey <br />Everett______________ _____C _. _.__19l <br />TO THE SUPERINTENDENT OF THE WATER DEPARTMENT, <br />CITY OF EVERETT: <br />1 hereby apply for the use of water in accordance with the rules and regula- <br />tions 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 of <br />any improvements authorized by the Citv of Everett, in or of anv street or alley in <br />which they may have been laid,"the City will not be required to furnish water during <br />the progress of such improvements to any consumer whose supply may thus be cut <br />off, or be liable for any damages for its failure so to do. <br />Application No..__71 k ./______.__ <br />--------- <br />Block oLut�y�. (_..__.._Add_ <br />No._1�:.��_$._ _. _ ._ __ Street <br />The work to be executed by ---- __-_f:Z4X4-1.�Q�C�^-_-____ Plumber <br />Sta a size of tap. <br />__Tap to be inserted in the main. �• o <br />L____ Water close[!5- <br />t <br />---------- Bath <br />-------- .Urinal it.`� !. <br />--------- Plain faucet inside <br />---------- Side walk washer <br />---------- Hose bib outside <br />Q <br />__Hose bib for building purposes f* <br />------- .--Hose bib inside <br />---------- Bib fur stable containing ------------ stall ._.__.._. <br />__ Number of persons in family <br />_._.___Number of rooms in building <br />'file premises are to be used as a --------------------------------- <br />Tile owner of the premises is ____.________._. <br />The agent is- --------------- .------------- _ <br />This application, although signed, shall not be binding upon the City, until ac. <br />cepted by The Superintends of the Water Dipartment. <br />Signed____ _..._._ „- '.�-____ ___________Applicant <br />1. <br />/ Accepted. By fir! <br />Superlmendent <br />�i' /7 • 1 7 _� 9 <br />