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w•L��--1600-&P.Cw--LMM <br />City of Everett�'Water Department <br />APPLICATION FOR WATER <br />All blanks must be filled in or cross out <br />Everett, ...................... ........_.. .,�....... ...................... 192- . <br />TO THE SUPERINTENDENT OF THE WATER DEPARTMENT: <br />CITY OF EVERETT: <br />i <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 time that any of the water main, may be taken up by reason <br />of any improvements authorized by the City of Everett, in or of any street or <br />r 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 liabl for any damages for its failure so to do. <br />Application No ......... V_7L_..... j......- I'kI <br />Block.................. ?.............. Lot................:....................... Add ............................ . :...... <br />No .... Z 0.................. L.ti ..Street <br />The work to be executed by ....................... ..........................................Plumber <br />Sifts size of tsp. <br />;A.. . ......Tap to be inserted in the main, <br />..............Water closet <br />...........Bath <br />— :Urinal <br />.....Plain faucet inside <br />...............Side walk washer <br />................Hose bib outside <br />..Hose bib for building purposes <br />ifoee bib inside <br />................ <br />for stable containing ....................stall: ........... <br />...:r_ WuMber of persons in family <br />... ...Number of rooms in building . <br />The premises are to be used a, s.... ... ............. <br />The owner of the premises ia..... ............. <br />........... <br />Theagent is...................................................................................................................... <br />This application, although signed, shall not be binding upon the City, until <br />accepted by the Superinte ent of 94,Water Department. <br />SignedS..: ............ . ... ... ....Gf!j..—.':. .................Applicant <br />P <br />Acce ted......... -.?�''..r...�I ..... By.... �`.. <br />..G <br />Superintendent <br />