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D. Form 4—IWe—L1'.Co.—G-2G81 <br />City of Everett --Water Department <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />y � <br />Everett,..._✓ . . ...��:......_ . � . ...........................Inn. <br />TO THE SUPERINTENDENT OF THEW . DEPARTMENT: <br />CITY OF E TT: <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 wader mains may be taken up by reason <br />of anyimprovements 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 />tenter during the progress of such imp, ovemmnts to any consumer whose supply <br />may thus be cut off, or. rct liable for any damages for its failure so to do. <br />Application No.... ..cl-..��................._ <br />Block........................................ Lot ..................................... ......... <br />.........Street <br />............... ....................................................... ....... <br />The work to be executed by ....................... <br />�f <br />tate size of tap. ��[ --� <br />............. .............. ..................................... <br />........ ............Plumber <br />Q.ty.... n / <br />� S �"T ,t.u. as F 9 <br />'/{.. -.Tnp to be inserted in the main. <br />/... ...... Water closet <br />...........Bath <br />...... .....Urinal <br />......Plain faucet inside <br />.__.... Side walk washer <br />...... /........ flose bib outside <br />�......Horz bib for building purposes <br />...............Hose bib inside <br />...............Bib for stable containing .................... <br />stall .................... <br />....... :�umber of persons in family <br />... Number of rooms in building <br />The premises are to be used as a............U.'i<LC�._.:........................ <br />The owner of the premises is ... ..c..�z....... <br />. <br />Theagent is ........................................................ <br />............... ........................ ---------- --- <br />This application, although signed, shall not be binding upon the City, until <br />uccepted by the Superintendent of th&AVater Department. <br />Accepted <br />t <br />