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\{ 1). Form 4-1500-11P.Co.-6 20dd <br />City of Everett --•Water Department <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />Everett, ............... ............. ....�_0. /�3 o............ 1924.- <br />TO THE SUPERINTENDENT OF THE WATER DEPARTMENT: <br />CITY OF EVERETT: <br />I heeby apply for the use of Crater in accordance with the rules and regu- <br />lations of the Water Department, for purposes and fixtures stated below. <br />During the time that nnv of the water mains may be taken up by reason <br />of any innprovenneno 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 />wader during the progress of such improvements to tiny consumer whose supply <br />may thus be cut off, or be liable for any damages for its failure so to do. <br />7 <br />Application No ............ ..S_7.�..,... % '- <br />1 <br />Bluek............................... ......... Lot .................... .................... Add........................................... <br />No..._../. 7 / V _ ffi.R�tJlt—....`...............Street <br />The wok to be executed by..........................................................................Plumber <br />State size of tap. 0 0 <br />/r <br />...... <br />Tap to .a inserted in the main. <br />._..—? ..Water closet <br />...===..Bath III, <br />................Urinal <br />........Plain faucet inside <br />.-..Side wall: washer <br />..... Rose bib outside <br />......_,`Hose bib for building purposes <br />Hose bib inside ..,,•. ' <br />................Bib for stable contain;: g....._.......I ajI............. ....... <br />'...��umber a persons in faintly <br />... 3....... Number of roans in building <br />The premises are to be used as a.......... ._.......... ...._. .. .. .. .......... <br />7a owner of the pi •mises is..O� _ _.. ...... ..... . <br />oagent 1s.............................................. _..... _................................................ <br />. !plication, although signed, shall not be binding upon the City, until <br />cj .; the Superintendent of the \\('later Deptur moment. �� QQ <br />ncd.... ..:.....:......ta...i..'S.�-!�1'PPlicant <br />i <br />..J.O....'..3.-. ..192% By. ...... ............................... <br />Superintendent <br />