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,r_f, YG J-7 7-1.1O <br />W. D. Form / 1500 3-1-II C. P. <br />CITY OF EVERETT==Water Department <br />Application for Water <br />All blanks must be filled in or crossed out <br />Everett, -'- -------------- ---- -------- 1917___. <br />THE SUPERINTENDENT OF THE WATER DEPARTMENT, <br />CITY OF EVERETT: <br />I hereby apply for the use of water in accordance will' the rules and regula. <br />tions of rha Water Departm-nt, for purposes and fixtures stated below. <br />During the time that any of the water mains may be taken up by reason of <br />:my improvements authorized by the City of Everett, in or of any, street or alley in <br />which they may have been laid, the City will not be required to furnish water during <br />the progress of such improvements to any consumer whose supply ntav thus be cut <br />off, or be liable for any damages for its failure so to do. <br />Application No.._7_�' _ /. <br />Block ._3.3 _a__ ______LotQ_�_-2-A-p'- Add ...... .--------- -- <br />Nro--"--' �_--'o-..-�e__ yvSt A_�r.Street <br />— --------- <br />The work to be executed by --------------- —.------------------------ Plumber <br />State size of tnp. <br />.__-Tap to be inserted in the main. <br />------ ..--Water closet <br />--------Bath <br />.Urinal J 0 IZI <br />___ Plain faucet inside <br />_Side walk washer <br />- _ _ _. _ .. -lose bib outside _ <br />Hose bib for building pm poses I <br />___-stall.. <br />---------- /I <br />---------- Hose bib inside y /tt,•r <br />___Bib for stable containing.___. <br />____._.___Number of persons in family <br />---------- Number of rooms in building -` <br />The premises are to be used as a ---------------------- ------------ --- ------ <br />The owner of the premises is ------------------------- ---------------------- <br />Theagent is --------- .._--------------- __---_._.._.-.-_.-_._______---__ <br />'Chis application, although&signd,,shall not be binding upon the City, until ac- <br />cepted by Th- Superinte e ,r_Departm t <br />App nt <br />Accepted �� _ _ ___!_______... _-_.._.._ <br />---Q- B>;� Superintendem <br />