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S - .1/-:2 f ef, <br />W. D. Fa,m 4 1500 3-1-17 C. P. <br />CITV OF EVERETT—Water Deptirtmit <br />Application for Water <br />All blank, mult be filled in or crossed mit <br />Everett,-7 -- 30 <br />To T14E SUPERINTENDENToFTnE WATER DEPARTMENT, <br />CITY OF EVERETT: <br />I hereby apply for the use at water in accordance with the rules and regula. <br />tioni of The Water Dzpartm!nt, for purposes ;Intl lixtures stated below. <br />During the time that ;my of the water mains may be taken up by reason of <br />any improvements authorized by tile City of Everett, in or of any street or alley in <br />11 water during <br />which they may have been laid. tile City Ivill not be required to fiirms t 5 be cut <br />the progress of such improvements to any consumer whose supply in y hu <br />off. or be liable for any damages for its failure so to do. <br />Applic.tion No --- 7t�711 -------- <br />Block IPP- ----- Lra_rl.7.1-9 ----------- Add ---- ------- --- <br />&,tj a;L ---- .. Street <br />No-- ---------- -- - w -------- ------------- <br />- ---­-------- I --------- ------ --------­------ ---------------------- <br />'rile work to be executed by ------------ ------------------------ Plumber <br />State'size of tap. 00 <br />__�e�_Tap to be inserted in the main. /Cs- <br />------ L-Water closet <br />--- Bath <br />Urinal <br />44, <br />---------- plain faucet inside <br />'ide walk wrisher <br />__.Hose bib outside <br />---------- Hose bib.for buildmg purposes <br />---------- Hose bib inside <br />---------- Bib for stable containing sthl] -- --- czi EE or <br />---------- Number of persons in family <br />F� --- Number of rooms in building <br />Tile prenii les are to be used is a - ----- 7e,__ --- ---- <br />"The owner of the premises is ----- --------- - -- ------- <br />---------- <br />Tile agent is --------- --- -------------- ----- --- <br />This application, although signed, shall not lie binding upon the City, until ac- <br />cepted by The Superintende It &the W,ter Department, <br />Signed .. .... ...... --- Agplican t <br />Accepted.- Bylrft ---------------- <br />zl��l --- '0 jj�Rl S.r,n�e,ndem <br />, 1, ­ <br />