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z-«-.-pry ''�G/ ��-9 •? <br />W. D. Form 4- :600—E.P.Ca— 26-24 <br />City of Everett --Water Department <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed or. <br />Everett,.................................-........_.._..._............... ..�_ <br />TO THE SUPERINTENDENT OF THE WAT. DEPART MIT: <br />CITY OF EVERETT: <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 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 the progress of such improvements to any consumer whose supply <br />may thus be cut off, or be liable for any damages for its failure so to do. <br />Application No ........... F...[._3...��........ - <br />Block......... . Lot...... :/ .... ......................... Add ........................................... <br />No....... ��..C�/................9tteet <br />L Q <br />The work to be executed by. ..... ...... _._..... . _... ...........................Plumber <br />S to size of tap. <br />f 1 . Tap to be inserted in the ranin. Qi <br />....... I ....... Water closet <br />................Bath <br />...."=.Urinal <br />... Plain faucet inside i!r <br />-m..' Y.'::..Side walk washer <br />-7::=Hose bib .outside <br />..Rose 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 F.e used as a...... ........:..... <br />The owner of the premises le,.01... .............. ..................... ... .................... .. <br />Theagent is ................................................. ............................ _..-'-............ .... ... ........ <br />19 application, although signed, shall not be binding upon the City, until <br />by the Superintendent o tho to <br />Department. <br />Signed..l..'k:....... .. ..GXi'I............ ...... .....: ._. .... ptiwnt <br />a�.--........ 19 ..... By... ...... ....... ..... <br />/ Superintenden <br />