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— z-16-7T 07 <br />I <br />W. D. Farm 1-1000—EP.Co.-62s.2/ <br />City of Everett —Water Department <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />Everett ............ .y�.f�.._S............................192...... <br />TO THE SUPERINTENDENT OF THE VATER DEPARTMENT: <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 anyy, 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 be liiablejar any damages for its failure so to do. <br />Application Np...../_.3..5..................l./ <br />Block ........�..::...................... Lot../..%_��...3............... Add .............. ......... ....... ...... _.... <br />No. ..... 4.7...3...rR....... (...... .liL..�,.(,..tw�.�.�........ Street <br />.................................................................................................................._................................ <br />The work to be executed by.. <br />State size of tap. <br />ly:...Tap to be inserted in <br />.�........_. Water closet <br />/ .......... <br />.._...._.... <br />...........Plain faucet inside <br />....... ...... Side walk washer <br />._.......... Hose bib outside <br />I <br />......... _ ..............................................Plumber <br />A 0/�the main. <br />-,E 35 = <br />... ......Hose bib for buildh,g purposes <br />... ...... Hose bib inside <br />... V..... Bib for stable containing....................stall.................... <br />... V.... Number of persons in family <br />....6....... Number of rooms in building <br />The premises are to be used as a..... �.........m..-...... ...C.� <br />The owner of the premises Is....- '.....,rrC.... .. ....... ..... <br />Theagent is ....... ........................................................ _........................................ _........... <br />This application, although signed, shall not be binding upon the City, until <br />accepted by the Superint et}t-Qb Meter Department. <br />�� Signed.x.... .,G..t..s....................................... .... ........ ...... scant <br />Accepted...... /...�C........ 102� By.. _,� ............. <br />intendant <br />