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l,r. G- 3- <br />W. D. Porm 4-1600—EP.Co.-6-26-24 <br />City of Everett —Water Department <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out , <br />5 <br />Everett....../EVERETT: <br />TO THE SUPERINTENDENT O -fR DEPARTMENT: <br />CI _0 <br />I hereby apply for the use of Water in accordance With the rules and regu- <br />lations of the Water Department, for proposes and fixtures stated below. <br />Dming 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 at- 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 liable for any damages for its .ailure so to do. <br />Application No .... 9/9-A.I................... i <br />Block. _............ . .......... L1 ....... ................... Add._ ..... .. _.__._. .... <br />The work to be executed by.. ... .. ..... _.......� ...................Plumber <br />State size of tap. I n '? 6 �� <br />;&/�,� 2 <br />......Tap to be inserted in the main. Lj/ <br />..-I ......... Witter closet <br />....I ......... Bath <br />...._._...Urinal <br />...Z.........Plain faucet inside <br />....L:...... Side walk washer <br />.._%......... Hose bib outside <br />L Hose bib for building purposes <br />oses ✓" <br />P <br />... L.......Hoso bib inside <br />.........Bib for stable containing....................stall.................... <br />._V._Number of persons in family <br />...f3 .........Number of rooms in building - <br />The premises ore to be used as a...... <br />.................... <br />The owner of the premises is ..... ........ <br />Theagent is .................................. .......................... �.... .......... <br />This uppliention, although signed, hall not be binding upon the City, until <br />a 'ed by the Superint dent of lh Wntcr Depatment. <br />Signed....... . f '�?L ....................... ,.. pplicant <br />intendent <br />