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-- - W. Q. Form ♦ 1500 0-1-17 C. P. <br />a <br />CITY OF-EVE"RETT—Water Department <br />Application for Water <br />All blanks must be tilled in or crossed m <br />Everclf,.__________ _______� -- r5____.___19i� <br />TO THE SUPER I NTF.NDHNT OF THE WATER DEPARTMENT, <br />CITY OF EVERETT: <br />I hereby apply for the use of water in accordance with the rules and regula- <br />tions of The Water Departm-nt, for purposes and fixtures stated below. <br />During the time that anv of the water mains may he taken up by reason of <br />any improvements authorized by the City of Everett, in ar 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 liable far any damages for its failure so to do. <br />Application NNo.___�I'e.L__-- <br />BlockD S. — <br />Lo� sL:2�3gp Add.--... ---- <br />0 6 <br />.. �'�R.._________._ Street <br />__------------------------------------------------------ <br />The work to be executed by_ _ Plumber <br />State sizeof tap. <br />---1___._Tap to he inserted in the main. <br />__1Vmcr closet <br />---.__ � L <br />_. Bath r <br />_._._ 7 .Urinal '07 <br />--_.--- _.Plain faucet inside 7 <br />_______ __Side walk washer <br />---------- Hose bib outside <br />-.--_- __Hasc bib for building purposes 'ey-n <br />--- ----- ._Hose bib inside <br />------ formable <br />----- -. Number of persons in family )�ti <br />----- __Number of romps in buildin �fhr'LL l� 2 — <br />y <br />O <br />The premises are to be used as a ____/.���->�s� <br />The owner of the premises is ------ 4J � _ <br />The agent is . ___. _..--..._. ......... <br />This application, although signed, shall not be binding upon the City, until ac. <br />repted by The Superintendent of the Water Departtpkltt. <br />y pPlica <br />.opted --- ./_-_�� 13y._ '. <br />// .�`���'� / I SuMrinlendenl�'� <br />