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cr — 4F i P ';—'7 <br />W. J. Fonn 4 1500 2-1-17 C. F. - <br />CITY OF EVERETTa Water Department <br />Application for Water <br />All blanks must be filled in or crossed out �5 � <br />Everett.-'-----------------J - os� 7 --- . ----------19- 7 <br />To THE SUPERIN: ENDENT OF THE WATER DEPARTMENT, <br />CITY OF E` ERETT: <br />1 hereby apply for the use of water in accordance with the rides and regula- <br />nons of The Water Dapartm-in, 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 be the City of Everett, in or of any 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 linble for any damages for its failure so to do. <br />Application No..__'71? %--__..- <br />Blnck __/�__-L -- .---- Lot ---^�- `—._-- Add ------ --'----------- <br />No.---. _�----Street <br />'._---- <br />The work to be executed by --------- --------------------- --- Plumber <br />Sta a size of tap. <br />- - <br />f Tap to he inserted in the main. <br />- -__Water closet <br />._A. -_.Bath ........ .Urinal <br />---------- Plain faucet inside ---------- Side walk washer <br />----------Hose bib outside <br />_.------- Hose bib for building purposes <br />---------- Hose bib inside <br />--------- Bib for stable containing ------------ still ---------- <br />---------- Number of persons in family <br />--_-q--- Number of rooms fit building t <br />The premises are to be used as a -.__. ............. ...�_... <br />(� t <br />The owner of the premises is ._._--+----- - -- <br />---t•-- <br />Theagentis----------------------------- ------- .---------- ._..--._..----- <br />This application, although signed, shall not be binding upon the City, until ac• <br />ce•,ced by The Superintendent of the Witter Department. <br />y./ <br />-- uDerinlandem <br />