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W. D. Form 4-1500—F.P.C.. &U-2< <br />City of Everett-- Water Department <br />APPLICATION FOR WATER <br />All blanks must br filled in or crossedlut <br />Everett..........................................!..........��' .................. It�t.�J..` <br />. <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 />of any improvements authorizetime that d by theof the yater City of++Eveins rett in orken of anystreetor <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((''be liable for any damages for its failure so to do. <br />Application No.......a.._'.) 6,,,,,,,,,,,,,,,,,, <br />Block..........1.......................... <br />Lot+ . Add .............. '. <br />The work to be executed by...........�/,r�rvr�.f�iA—C..L,� Plumb( <br />/ .......... .......q.. <br />State size of tap. ' <br />I <br />....Tap to be inserted in the main. u <br />..............Water closet — <br />......,�..... Both Q <br />.:�....t.....—..Urinal <br />... ...Plain faucet inside <br />............ -.Sidi <br />k washer... 1. �.....ifns6 outside <br />-- <br />................Hose bib for building purposes <br />bib inside } <br />nn a <br />for stable containing ' <br />_... g....................stall.................. <br />• - :- IsTumber of persons in family <br />.........Number of rooms In building <br />The premise3 are to be used as a. .... <br />.................... <br />.. <br />The owner of the premises is... ...................... <br />Theagent is......................................................................................This .. . . .... ......... <br />accepted by then Supe t ndentao signed, <br />shall ateroD patmentg upon the City, until <br />