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ivJt�Q� SS-X%—Is -ff, I <br />W. D. Finn 4--1600—fir.Co. 6.26.24 <br />City of Everett —Water Department <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />` ..... 3.................... 192...J- <br />Everett........_..-....... <br />TO THE SUPERINTENDENT r�EVl IETT; EPAI:T)\fEN'f: <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 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 />waterrte the oosisuch jraoconsumer <br />whose <br />supply <br />may thusbcut ft re labble for damages for its failureso todo. <br />Application No....... a.....J..........• <br />Lot .... ...._.......J.................... Add—..". - <br />Black................/l..y............/..(..� -- / .' <br />.. �......3..1. U.y..........1...-.Y.. WI..LJ...............street <br />................................ <br />................................................................. <br />......................... <br />.................. ....fi. ... <br />...._ The work to be executed bY... ....:......... _... <br />State size of tap. <br />.... K.... Top to be inserted in the main. <br />--,-„�........ Water closet <br />...... I........Both <br />•,,, �: Urinul <br />....Plain faucet inside <br />..........Side walk washer t y <br />,..........Hose bib outside <br />-_.... Hose bib for building purposes <br />,_-',r-..Hose bib inside <br />....Bib for stable containing....................stall.................... <br />... _ .....Number of persons in family <br />•••_........ Number of rooms in building <br />The Premises are to be used as n_-A-"l�e/•.7.. '.- .� .• <br />�j i� <br />The owner of the premises is...... (�i -"/ ;I � ---- �-- <br />"" <br />The agent is........................................................ <br />........................................................... . <br />This application, although signed, shall not be binding upon the City, until <br />accepted by the Superintendent of the Water Department. <br />Signed.. "BLS LN !^..'.e,-�1.,.'.l.c.•%s.. ... .. t.-typplicant <br />... . <br />�" <br />.. ......... <br />Accepted.......y.7...... .....3-•••192.�.�-.. IIY�--�-��• ��Sune intendant <br />