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W. D. Form 4 .+"J 3-1-17 C. P. <br />GITV OF EVERETT==Water Department <br />Application for Water <br />MI blanks must be filled in or crossed out <br />Everett -------------------- <br />TO THE SUPERINTENDENT OF THE WATER DEPARTMENT, <br />CITY OF EVERE'PTi <br />I hereby apply for the use of water in accordance with the rules and regula• <br />liana of The Water D-partm-nt, for purposes and fixtures stated below. <br />During the time that any of the ,vater mains may be taken up by reason of <br />line improvements authorized by the City of Everett, in or of any street or alley, in <br />which they any have been laid, the City will not be required to furnish water during <br />tor bliable <br />tile progress <br />oe such <br />improvements <br />Y es for <br />oily y- consumer <br />er r. <br />rwhose supply may thus be cu <br />Application No.____7 -� -------- <br />Block .--'----'f ,------Lot. '. __ 2 r- <br />._.-_-Add______________________ <br />J,---- 3 J?.e _c�� U(.Gtti�-----Street <br />.. .. <br />_ _ c.�yi-:Plumber <br />The work to be executed by - --------------- <br />State 1ze of lap. <br />/ Tip to be inserted in the main. <br />----- ---\\rater closet <br />.... Bath <br />-__--- .Urinal <br />---_ __Plain faucet inside �f <br />___Side walk washer S/(/ <br />-_-,�-_..-Hose bib outside <br />----- Hose bib for building purposes t <br />Hose bib inside <br />--_ Bib for stable containing ---` --- stall -_ ---- <br />7 -_.Number of persons in family <br />-_.,/. ----- Number of rooms in building <br />The premises are to be used as a _pp -- =• -------- ------ <br />The owner of the premises is <br />The agent is.. _---___._. ___..__._+�-.-' ---'--..__ <br />This application, although signed, shall not be binding upon the City, until ac• <br />cepted by The Superintendentoftile Water Department. <br />Signed _�_`_/-J-=-V `- '---------Applicant <br />