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�/ 9-y-14_i- � Sa 3'3n �4—A— ?/ <br />W. D. Farm d—IG00—EP.C10 &20-2/ <br />City of EverettWater Department <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />Everett. ................. .. .G............192..�e.... <br />TO THE SUPERINTENDENT OF THE WATER RTDIENT: <br />CITY OF EVERETT: <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 sny improvements authorized by the City of Everett, in or of nay 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 be cut off, or a liable foranydamages for its failure so to do. <br />A <br />Block...... pplicationA'o....4..0...,,,., <br />..........................Lot.93._?111................. Add. . . . <br />No. ,1l/........ ........................ et <br />The work to be executed by.... ............. ...Plumber <br />�.4SSt,n/ja size of tap. <br />_'....Tap to be inserted in the main, ji,f. I,� 19 CC, <br />................Water closet .._._.�........ Bath <br />................Urinal <br />�t ..AUG .9 ' 199 <br />...............Plain faucet inside " <br />Side walk washer CITY OF EYE h WATF.Fi <br />......... _... Hose bib outside <br />__.Hose bib for building purposes <br />.....Hose bib inside <br />t <br />.......:...Bib for stable containing....................stall.................... <br />1 .....Number of persons in family <br />i <br />.........Number of rooms in building ....... <br />The premises are to be used as a...... ...... ._. . <br />The owner of the premises is. ..� <br />iThe ngent is ......................................................... .......... ......... ........................... <br />This application, although signed, shall not be binding upon the City, until <br />ecepted by the SuperiCntendento of the Water Department. <br />C:......,1 f ..: _ /� • _-. • 'fin <br />