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W. D. Form—I60(�ECCa—a "aril <br />City of Everett —Water Department <br />APPLICATION FOR WATER <br />All blanks must be filled in or crop eed out <br />Everett.....................y�J.............................. _192..�%'; <br />TO TF..E 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 Mason <br />of any improvements authorized by the City of Everett, in or of any street or <br />alley to 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 be liable for any damages for its failure so to do. <br />//?':3-2 ilnPcat on o.....iA....C�j <br />Block ................... _...:. 1:.' �A.... ....... <br />...... Lpt......;2._:::................. ............_......_. <br />No .`,�.'..�i......�........(../ 4,-4 SC.>Lr r..t..ks.Streat <br />-------------- —-------- --- ...................... _.._............................................... ............. ......... ...... ........ <br />The work to be executed by ............. ... C..G].�.i•.t blur <br />State size of tap. <br />...�4x....Tap to be inserted in the main. <br />..............Water closet FEB 22 0278b <br />...... I ........ Bath CITY OF EYERETTUIITER DEPi <br />.....Urinal Ulf ......... _....._� ....__..�....... <br />........Plain faucet inside ' <br />................ Side walk washer <br />......(.........Hose bib outside <br />.............Ifose 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 />9 premises are to be used as a- ............ .. <br />......................._........... <br />rvner of the premises is.,.-..�c'(�'... .... ...'... .............. .4._�c...�_....- <br />is................................. _................................. .......... ............... .................... <br />'ion, although signed, shall not be binding upon the until <br />1 •e�ri.nten..d..e. n9t2.8"the 8 ..e.r. r a a.. rtment. <br />v .dcp.e..rintendent............�( Applicant <br />