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C4—Z <br />W. D. roan 4 _1660—&P.Co.-6-26-91 <br />City of Everett —Water Department <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />Everett,......_...:.:_:.._ ......... .... /"_.....`�.........192.l... <br />TO THE SUPERINTENDENT OF THE WATE DEPARTDIENT: <br />CITY C3F EVERE <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 authorized by the City of Everett, in or of any street or <br />alley in whiff 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 supply <br />may thus be cut off, ore liable fir any damages for its failure so to do. <br />Application No ... ... .._d... --- <br />Block ........... ...3.%..Z.... <br />7......... <br />Lot ...... 12.5-........... Add..._._ ................__.. ..... ..... <br />..lC<.1. No...../ d. �.6........,�'r.... ..............Street <br />............_..___..._.._............................................... ................... ..... ..... ........ I ............ ................ <br />The work to be executed by.......... __....... .._..._. _.Plumber <br />.................... <br />Stat size a'. tap. <br />.._'..Tap to be inserted in the main. <br />....... ....... Water closet C� <br />........ /....... Bath <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 />......V....Number of persons in family <br />................Number of rooms in building <br />The premises ire to be used as m.......... _....................__......._._.........._....__........... <br />The owner of the promises is ...................................... _.............................................. <br />Thengent is...................................................................................................................... <br />This application, although signed, shall not be binding upon the City, until <br />accepted by the Superintendeatt off theO Water Department. <br />Signed .............. ✓..."L.�..IA...-.C61.W�.�� . ........Applic t <br />-�1....—....... By... ......... <br />......uperintendent L� <br />