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W. D _Fenn 4 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 out <br />Everett ..----- .________--' %G -----._t9fY�G <br />TO THE SUPERINTENDENT OF THE WATER DEPARTMENT, <br />CITY OF EVERETT: <br />I hereby apply for the use of water it accordance with the rules and regain. <br />tiuns of The Water Departm-at, for purposes and fixtures stated below. <br />During the time that any of the water mains may be taken up by reason of <br />any improvements authorized by the City 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 to any consumer whose supply may thus be cut <br />off, or be liable for any--d77amuuages for its failure so to do. <br />Application r.__-/_.-.C. /_T____ <br />•1 a 1 i o <br />Block_Lot._ �:..��-_-/y--- Add ---------------------- <br />nv�._ ..Street <br />The work to be executed by _______________ ........................ Plumber <br />Stales' a of lap. <br />7- -Tap to be inserted in the main. <br />(___ Water closet <br />---Bath <br />Urinal <br />____ _-__Plain faucet insiue <br />.... Side walk washer <br />.... Hose bib outside <br />bib for building purposes <br />f ____Hose bib inside <br />___ _____Bib for stable containing ._._.__.--- stall -_. _--- <br />Number of persons In family <br />_- ------- Number of rooms in building % <br />The premises are to be used us a ___. _�I_- <br />The -wner of the premises is ---- L: ___ tf--_ <br />Theagent is.. _____..__..._.. ___ _______' ____ _________ <br />This application, although signed, shall not be binding upon the City, until ac. <br />cepted by The Superimendenuo/f tth Water Department. <br />Signed \ l Y.__ ______Applicant <br />__ . _ <br />Accepted__ _._______ _________191 Ey__..-WJAAAAIA.4.1/ _ <br />