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W. D. Form 6-1600-"EP.Co:-6-26-24 <br />City of Everett�Water Department <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />a s%ZJ. fa 2 ...........1921. <br />Everett,......................1......../y....L.................. <br />PO THE SUPERINTENDENT OF THE WATER )SEPARTMENT: <br />CITY OF EVERETT: <br />I hereby apply for the use of water in accordance with the rules and regu- <br />lation, 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 supply <br />may thus be cut off, //or he liable for any damages for its failure so to do. <br />Application No ... U.G.4,.................. <br />Block ................. Lot ..................................... ... Add..- <br />........................... . Street <br />.._.._.............._...................................................._...._....................... ............................. ........ <br />The work to be executed by.. .... ............. ... A -"-........ -...... ............. ...... Plumber <br />0 <br />State size of tap. <br />... ....Top to be inserted in the main. ,^ Do <br />a <br />....... Water closet /S♦Ilr, / <br />.. .....1..........Bath CI iV (IF EV 1 <br />376 <br />.....'-..... Urinal _ IV 11 D@p,r <br />.................... <br />..._y Plain faucet inside .................. <br />-......Side walk washer �""' <br />...... I ........ nose bib outside <br />............Hose bib for building purposes <br />...........Hose bib inside <br />..... Bib for stable containing ............. ...... stall ..._.............. <br />..Number of persons in family <br />....Number of rooms in building <br />emises are to be used as a... ....... .. .. .. <br />mr of the premises is .... <br />gentis ................................. ........ ....... -..................... _................................... <br />This application, although signed, shall not be binding upon the City, u 1 <br />accepted by the Superintendent of <br />the <br />Wa.er Depa tment. <br />Signed........(/.f..L'N..-.dI?G................. f.'J pplicant <br />Accepted...:/.x..__...19 By..L .... erintendent... <br />