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"W , , - - — - J- ' 1'?i lr—a6-23 A° f <br />W. D. Farm 4 1500 3-1-17 C. P. <br />CITY OF EYERETT==water Department <br />Application for Water <br />All blinks nius!47, filled in or cr( ed out ��}} <br />Everett,- ---------- <br />---------'19Y_ <br />TO TE'p SUPERINTENDENT OF THE WATER DEPARTMENT, <br />CITY OF E`lERETT: <br />I hereby apply for the use of water in accordance with the rules and regula- <br />tions of The Water Department, for purposes and fixntres stated below. <br />During the time that any of the water mains may he taken up by reason of <br />any impravmnerts authorized by the Citv 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 In any consumer whose supply may thus be cut <br />off, or be liable for any damigy its ntlme so to do. <br />Application,, //No._ oo _.� <br />Block _.!S'�-C!' '--- °t— Add------------""-- -- <br />No. �' .. -.--L ---------- .. _ Street <br />The work to be executed by ------- -------- .--------------- ._ Plumber <br />Stale izc of tap. <br />- --- Tap to be inserted in the main. <br />..__.---- closet <br />___Bath <br />------ <br />Y.._Plain faucet inside <br />------- •asier <br />Ihise l:ib outside <br />_. __.__._,J3oce-lwL-f�mbnitdnTg7mrlmsys <br />lla-bilrinsidr - <br />Number of persons in family <br />-__-Number of rooms in building <br />The premises are to be used as a ---- <br />_ ____________ <br />The owner of the premises is ------ - --- ----- ---------------- The agent is ..-------- .--- !---- ___________________________________________ <br />-�` This application, although signe , shall not be binding upon the City. until ac. <br />IPW by The Superintendent of the Water Dep_artnment. �i <br />Signed_nv�-'-d�'-�"�r.�?- 14-cf../-------------- Applicant <br />/i <br />Accepted._.__ _^,�/.'...... �� By_ -1.,! __ _______ ____ni___..__ <br />- %•�i 'f Suoerinlendeni <br />