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CITY ' EVERETT—Wate'r Department <br />Application for Water <br />All blanks must I N in or crossed out �,�} <br />Everett,. _. � [_ �.----- _.191�d_ <br />TO THE SUPERINTENDENT F 'HE WATER DEPARTMENT, <br />'Y OF EVERETT: <br />I hereby apply for the use of water in accordance with the rules and regula• <br />lions of The Water Departm -nt, for purposes and fixtures stated below. <br />During the time that any of the water mains may be taken up by reason of <br />any improvements authorized by the City of Everett, in or 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 />og, or be liable for any �dd//amagepss�f�ts failure so to du. <br />Application No..__!__7. /.____._____ <br />BlockJ _.._�J Lot -------- ______-Add ------ ..._____._.__.. <br />------..Street <br />y.-------------____ _____ Plumber <br />The work to be executed b _.. _. <br />State . e of tap. <br />tr V _ � Tap to be inserted in the main. <br />---------- Water closet H <br />---------- Bath <br />-------- .Urinal <br />---------- Plain faucet inside <br />___ --- Side walk washer <br />_--------- Hose bib outside <br />. _ _ _ _ . _ _ _ -Hose bib for building proposes <br />_ _ _ _ _ _ _ _ Hose bib inside <br />e <br />---------- Bib for stable containing <br />L <br />._____... stall.___.. i <br />___.____. Number of persons in family <br />___..___.Number of rooms in building <br />The premises are to be used as a ------------ .................... <br />The owner of the premises is ___________________________________________ <br />The agent is_........................... <br />This application, although signed, shall not be binding upon the City, til ac. <br />cepted by The Superintendenttt of tt{'Wat )epartm7ennt. <br />.._.____ <br />Signed _C{__:/U_•Vf_`+i_,-,_. pl lica t <br />--_. ...A t <br />Accepted <br />