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W. D. Farm 4 <br />141MAIMUMMATMEMMMUM 4 MIAMM <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />Everett............................................f...':/l/.'...................19.... � <br />TO THE SUPERINTENDENT OF THE WATER DEPARTMENT: <br />CITY OF EVERETT: <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 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 City will not be required to furnish <br />water during the progress of such improvements to any consumer whose sup• <br />ply may thus be cut off, or bee''liable for any damages for its f^ilure so to do. <br />Application No ....... �.7_..(/.�ff.�......... <br />Block ........................... ............ Lot ............. <br />/........ ............ ....... Add........................................... <br />No.........................................C..: � ' I .......... Street <br />The work to be executed by....................................�J..... .... .........Plumber <br />State size of tap. <br />;� .._ .....Tap to be inserted in the main. /� 0 p0- e z <br />................Water closet ryP'1^t% rs,�3 l <br />................Bathy�("/I/` �7(ce 72.e+ <br />................Urinal WRITE Everett Sc�,9,P <br />................Plain faucet inside R')EM A' <br />................Side walk washer <br />................Hose bib outside <br />................Hose bib for building purposes <br />................Hose bib Inside C <br />................Bib for stable containing ................... <br />.stall,..!................. <br />................Number of persons in family Cil e.7=�urecu r <br />...............Number of rooms in building iJ�� li <br />�» < ri f' <br />The premises are to be used as a ............................... �..............` ..Q-+°''`'' <br />The owner of the premises is .................................. ...e......./i7a,allx....... k <br />Theagent is ................................... ........... _.... ........ �-.�..C.Gh.�......... <br />This application, although signed, shall not be binding upon the City, until <br />accepted by the Superintethe W ter <br />t e1�n.-t'. <br />Signed. ............... <br />Accepted...................................................................... j` <br />. tr�....................... <br />Superintendent. <br />