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W. D. Par. 4-1500—E.I'.C..-6.2' ^.0 <br />City of Everett —Water Department <br />APPLICATION FOR WATER <br />All blanks mus: be filled in or crossed out <br />Everett................11412...................._............192.,� _ <br />TO THE SUPERINTENDENT OF THE ANTATER <br />DEPARTMENT: <br />OF EVEIIETT; <br />I hereby apply for the use of water in accordance with the rules and regu- <br />lations of the Water Department, for proposes and fixtures slated below. <br />During the time that nny of the tvatar mains any be taken up by reason <br />of any improvements nuthorize, by the City of Everett, in or of any strec. or <br />alley in which [hey may have been laid, the City will not be required to furnish <br />water ay th1 thusbecut the off, or be lss iable for asuch ny dalents mages for its failure so whose <br />Application No... ... d............................... <br />Block.............Z. ................... Lot..Jt... ............ Add........... ............................. <br />No. j......�/..%.i.. ... reet <br />Jf <br />The work to be executed by .............. <br />6 <br />_6 _....__ ....................Plumber <br />Stat size of tap. <br />Tap to be inserted in the main. <br />. J..........Water ci„set <br />;.- <br />......... <br />ath <br />.... Urinal <br />-,2......Plain faucet inside <br />......:`:.....Side walk washer <br />......I ........ Hose bib outside <br />^...Hose bib for building purposes <br />..Hose bib inside <br />,.... ��.Bib for stable containing....................stall.................... <br />......=.Number of persons in family <br />.........Number of rooms in building ^ <br />The promises are to be used as a ..... ..J�"L-10.............................................. <br />Tl,• owner of the premises is ..... _..___.................................................. <br />........................................... <br />,int is ................... _........................................ <br />.................... <br />lication, although signed, shall not be binding upon the City, until <br />.he Superintendent g 1 Wat ee arrt�ment. <br />-igned...,q............................................. �".:�".. Applicant <br />I 1 — ���.....132,.1By.. .. . .... .......... <br />R j .into..... <br />.... -•""""""""" ( uperintendent <br />