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W. �. Fe nl 4 1500 3-1-17 C. P. <br />CITY OF EVERETT—Water Department <br />Application for Water <br />All blanks must be filled in or crossed out <br />Everett,.======<?fi.� <br />TO THE SUPERINTENDENT OF THE WATER DEPAi2TM1fENT, <br />CITY OF EVERETT: <br />I hereby apply for the use of water in accordance with the rules and regula. <br />tions 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 of <br />any improvements authorized by the City of Everett, in or of :my street or alley in <br />which they may have been laid, the City will not be required to furnish water dining <br />the progress of such improvements to any consntnetwhose supply may thus be cut <br />off, or be liable for any damages for(ittss fadure so to do. <br />Application No. <br />Add <br />t. <br />Nloxk_._�-/--_L!�e.'^^.vT..-_. .. Street .... <br />- ------- _.__------------------- ________________________. <br />The work to be executed by_________________________________ Plumber <br />State �fze�of tap. <br />_C_Tap to be inserted in the main. <br />---------- Water closet <br />---------- Bath <br />___ __- .Urinal <br />---------- Plain faucet inside <br />-_ ..-Side walk washer <br />.... .._Huse bib outside <br />__________Hose bib for building purposes <br />______.: _Hose bib inside <br />---------- Bib for stable containing ------------ <br />stall <br />._.. <br />---------- Number of persons in family <br />.___ _____Number of rooms in building <br />The premises are to be used as a <br />The owner of the premises is _...__. ------------- <br />The agent is __.------------------------- <br />']'his application, although signed, shall not be binding upon th. ..,ty, until ao <br />-d by The Superintendent o the Water D,eep�artni nit. <br />Signed i_.�J3S�w.`-'!!.l!✓l.__ 'plicant <br />1 `. .,PuepteA,� _ liy_ <br />-ry, ��-�- - rintendem -- <br />