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W. c ra,m e <br />CITY OF EVERETT-WATER DEPARTMENT <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />Everett, ........................................ A.:n....'".............19.. ...Y <br />TO THE SUPERINTENDENT OF THE 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 Departmcnl, for purposes and fixtures stated below. <br />During the time that any of the water mains may be taken up by reason <br />of any improvements authorized by the City of Everett, in or of any street or <br />alloy in which they may have been laid, the City will not be re, uired to furnish <br />water during the progress of such improvements to any consumer whose sup. <br />ply may thus be cut off, or be liable for any damages for its failure so to do. <br />Application No.......l... aGG... 6.......��..... <br />Block ........................................ Lot.............. 4................... Add.....-.-c�i.�.......: <br />The work to be executed by.•.....•...•••••................................_.............._...Plumber <br />State size of tap. <br />................Tap to be inserted in the main. <br />.%.-. l... Water closet <br />L......B <br />` ath <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 />.........Number of persons in family <br />.,,�j.........Number of rooms in building <br />The premises are to be used as a .................. .......... ................................ ..._........ <br />...... <br />The owner of the premises is .... ............................. .............. ................. ............... <br />....... <br />Theagent is........................... ...................... ....... .................................................. ........... <br />This application, although signed, shall not be binding upon the City, until <br />accepted by the Superintende t t��� Wa rrP�,partnte <br />Signed.. ..........:.:....:.... % i.Yt�S........ ....... ..Applicant <br />Accepted ..................... _...............__.19....... By ................ ..... .............. <br />............................ <br />.... <br />Superintendent. <br />r - <br />