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V. D. Form 4-1600—&P.C.—6-26.21 <br />City of Everett• Water Department <br />APPLICA,T'10N FOR WATER <br />All blanks must be flied in or crossed out // <br />Everett........./....a,../................................192...... <br />TO THE SUPERINTENDENT OR THE WATER DEPARTMENT: <br />CITY Or EVERETT: <br />1 hereby apIdy for the use of water in accordance with the rules and regu- <br />lations of the Water Department, for purposes and fix'ures 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 C ty will not be r: quired to furnish <br />water during the progress of such improvements to any consumer whose supply <br />may thus be cut off, or be li ble for any damages for its failure so to do. <br />Application No._� _6� ................ <br />Block ..... <br />/-4.az.....�.......... Lotot..... �./...................... Add...�...!/l�....�......... <br />No.. .Q -- .2....;..f%......a[?'.C!-Ccf�l�Street <br />............................................................ ....... ........7....L..,................................. ......... <br />The work to be executed by....0............... ......Plumber <br />State size of top. <br />_; Z&......Tap to be inserted in the main. <br />.....I ......... Water closet <br />...I..........Both <br />....,%.........Urinal <br />...,........Plain fatcet inside <br />....X.........Side wall: washer <br />......... Hose bib outside <br />...X....... .Hosc bib for building purpo,rs j <br />G <br />........ bib inside <br />... X..........Bib for stable containing....................stall.................... <br />..1......... Number of persons in family <br />__......... Number of rooms in building � ^ <br />The premise.: are to be used as a... .....LWI.....�.j�''j <br />The owner of the premises is ...... 6!.._-r..t...._... 10.....;.�...(�..-.�/..-/............. <br />Theagent is ...........................................................................`........•....Y•....••�......... <br />This nppltcntion, although signed, shall not be binding upon the City, <br />accepted by the Superj ktendent of the WatA Depprtment. <br />Accepted., /Le;,..-*/" N` ..-.-.!:?.�il2 ..... <br />