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W. D. Form ♦ 1500 3-1-17 C. P. <br />CITY OF EVERETT- Water Department <br />Application for Water <br />All blanks must be filled in or crossed nut <br />^l y <br />Everett/. ..---- _--------- - - <br />TO THE SUPF.RINTENDF.N'r 1.7W <br />. 'y WATER DEPAKTMENT, <br />1. 4 OF FVF.RETT: <br />1 hereby apply for the use of water in accordance with the rules and regula- <br />tions of The Water Department, for purposes and fixtures stated below. <br />During the time that :my of the water mains may be taken up by reason of <br />any improvements authorized by the City of Everett, in nr 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 may thus be cut <br />off, or be liable for any damages for its failure so to do. <br />Applicntiron No.._._7 /` 6_ s�__. ____ <br />_______________ _ <br />--__ <br />No. /Z/,9_ _______.XeJ_�L,GI-C..Sheet <br />The work to be executed by. ____ _---------------- Plumber <br />State siz r f tap. (i _ n � <br />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 <br />---------- Hose bib inside <br />_____t_�___Bib for stable containing..._____ ----------- <br />S. _.Number of persons in family <br />___Number of rooms in buildin The premises are to be used as pa <br />The owner of the premises is (old. <br />Theagent is . ------------- ______________ ------------------------ <br />This application, although signed, shall not be binding upon the City, until ac. <br />cepted by The Superintendent of the Water Department. �u�`1 \ <br />Sngl�ed -------"".._-.- � ?t'"'"' `-"'API> ant <br />Accepted=. _.___-..1 7 By_ __________________ <br />/ �. - // Superinlendem <br />