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W. D. F.,m <br />L l J <br />CITY OF EVERETT-WATER DEPARTMENT <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />Everett....................................�....:........................19.� <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 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 any improvements authorized by the City 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 />water during the progress of such improvements to any consumer whose sup- <br />ply may thus be cut off, or liable for any damages for its failure so to do. <br />Application No ............... . ., _ . ...........I <br />Block......I... ................ Lot.............. Ad .�--'— 'u-.•7•� <br />The work to be executed by ...................... <br />Stale sue of tap. <br />y.... Top to be inserted in the main. <br />...............Water closet <br />........Bath <br />................Urinal <br />................Plain faucet inside <br />................Side walk washer <br />................Hose bib outside <br />................Hose bib for building purposes .7(4.e )" <br />................Hose bib inside JU1 " '64Y(�3Y <br />................Bib for stable containing .... ....... _....... stall ........... .... <br />................Number of persons in family City f L`/fin= <br />T- A <br />...�.....Numbcr of rooms in building ►NAma Di-i' <br />The premises are to be used as a............................................................................. <br />The owner of the premises is.................................................................................. <br />Theagent is.......................................................................................................... <br />This application, alt g signe 1 not a binding upon the Ci until <br />accepted by the Su r' d nt of Water . <br />Sign ...... �!....... .... ..... par. ant ....... ..............Applicant <br />Accepted.. ....... .............. ... ...... 19 ....... By. I ...... ..................................... ...................... <br />