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W. D. Form 1—IM—EP.C.—b.2e-24 — <br />City of Everett --Water Department <br />APPLICATION FOR WATER <br />All blanks must be filled in or jcrossed out r <br />Everett ............................ .0`..'.�%X........................... 192. d.../ <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 regu. <br />lations 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 <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 improvements to any consumer whose supply <br />may thus he cut off, or be liable fQr any damages for i� failure so to do. <br />Application No ........... ....93. ...(..:II -%�9`J <br />Block............::.7..Y/.a.. Lot........... jL14i............... Add ... _..___............_......... _... <br />No....�..��. 7.... _... ...... aLia^.RiSA.. ...........Street <br />.._ .... _......... ._............................................................... .................... .... ...... .......... ...... I............... <br />The work to be executed by ......... .. ........ ..� . ................Plumber <br />�. p <br />State size of tap. `Y ' <br />Ay... Tap to be inserted in the mnin. � -• <br />..............Water closet <br />......... Bath gg .............. Urinal <br />.. .�.'.......Plain faucet inside <br />....... ....... Side walk washer qq <br />......Hose bib outside <br />......-.....Bose bib for building purposes _ <br />....... _ ...Hose bib inside / <br />.......-...Bib for stable containing..................sla .................... <br />. Numbet• of persons in family <br />.... ....... Number of romps in building ^ <br />The premises are to be used as a.— ....... v ... Y.... .......... .. <br />The owner of the remises iem7 ,L2..... ........ .( jyr1.-(,- C.L <br />Theagent is...................................................................................................................... <br />This application, although signed, shall not be binding upon the City, until <br />ted by the Superintendent of the Water Department. <br />" ptrd............�.. _' <br />