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-ems n-14 •a�-f� E� ,.�'� t :�-. � I - 1.'j fir, p <br />W. A Form 4-1500—E.1'. Co.-6-2624 <br />City of Everett —Water Department <br />'' ` - 3ATION FOR WATER <br />All blanks must be filled in or crossed out <br />Everett, ...................... /... f...:.�.................. ............. <br />19'1.,7.. <br />TO THE SUPERINTENDENT OF THE WATER DEPARTMENT: <br />CITY OF EVERETT: <br />I hereby apply for the use of realer in accordance with the rules and regu- <br />lations of the Water Department, for proposes and fixtures state@ below. <br />During the time that any of the water mains may be taken up by reason <br />of any 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 fire progress of such imprmrements to any consumer whose supply <br />nr..y thus be cut off, or be liable for any dai-ages for its failure so to do. <br />Application No .... 9-7.4... r....... .-.... Z% <br />Block........... ........................./.: Add........................_ _._._..... <br />No........ �. Q...�5....,,/L(/..rC.U[�,..Street <br />....._...................... ................................................................. <br />The work to be executed by....................d <br />a <br />..._............ .... .... ....... ...... ....... - ..... .. <br />............................... . Plumber <br />State size of tap. <br />.!%.y---Tap to be imcrted In the main. <br />...... I ....... Water closet <br />......... Bath <br />.............. Urinal <br />..... ?r...... Plain faucet inside <br />...... .-......S'de wnik washer <br />..............Hose bib outside <br />...- ....Hose 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 />The premises are to be used as a.._ _. _... <br />„(_�Q................. _ <br />The owner of the premises is. ... <br />.. ......... .............................. <br />Thengent is ............ .... ........... ....... ..... .... ...... .......... <br />_................................ ...................... <br />This application, although signed, shall not <br />be binding upon the City, until <br />accepted by the Supmintendgrft of the Waygr <br />Denartment. <br />Accepted..... ... ...........102 <br />