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iv. b. riirm a-ison—nr.co. 5 es-ze <br />City of Everett —Water Department <br />APPLICATION FOR WATER <br />All blarihs must be filled in or crossed out <br />Everett. ............................................... ..tl ......................192...... <br />TO THE SUPERINTENDENT OF TILE WATER DEPARTMENT: <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 he taken up by reason <br />of any improvements authorised by the Gity 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 />.eater during the progress of such improvements to any eenaumer whose supply <br />may thus be cut off, or e he far any damages for It lure so to do. <br />Application <br />((�*o._................................... C� _.. ... <br />Block ................. Lo`t......1.....�... .:.-/................. Add ........... .._................ <br />......._.. <br />No ......... <br />..9...-....E41.._.....:....lP-".^-- ...--.9treet <br />The work to be executed by .................. ....................:.,:....,e.......................Plumber <br />St to size of tap. �� .... Tap to he inserted in the main. <br />............ —.Water closet - <br />................ Both ' <br />........... _... Urinal - <br />................Plain faucet inside - <br />......... ...... Side walk washer ` <br />...___.._...Hose bib outside <br />.............. Hose bib for building purposes <br />.............:..Hose bib inside <br />................Bib for stable containing ........ ............ stall ........ ............ <br />...n.............Number of persons in family <br />-P............ Number of roonis in building <br />The premises are to be used as a .......... <br />'art owner of the premises is ..... CIZ.d.....o`...,...................... ... ..... ... GJ; {..i <br />agentis........................................................................................................._........... <br />'t.:ls - rplication, although signed, shall not be binding upon the City, until <br />pterI I,; Superintendent of the Water Department. <br />Signed......1.!_'.....r...t.../�..6:_1....:....::...... r.,•hnGc..Applicant' <br />-zepted... ./`...43....-'.192.Gr By. ...f�'- W <br />...n'd'e......intendent <br />