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W. D. Form 4-160U—E.P.Co.-6-26-24 <br />City of Everett' --'Water Department <br />.PPS '­')ATIO'Lq FOR WATER <br />All blanks must be filled <br />in or crossed out <br />Everett,............. r-.`.. K:"............9..... .............. 1927. <br />TO THE SUPERINTENDENT OF THE WATER DEPARTMENT: <br />CITY OF EV ERETT: <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 ret son <br />of any improvements authorized by the City of Everett, in or of any stree': 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}ja� a fora y damages for :is failure so to do. <br />}}�5 - r <br />Application No........................................� �'7 <br />Block..........._3..44.).....))..�� Lot ............... ��.................... Add........................................... <br />No ....... �.'�L..L.?r........ .....V.. ......Street <br />................................................................................................................................................... <br />The work to be executed by ....... ___ ............................................................Plumber <br />Sit size of tap. <br />..../j...�.,Tap to be inserted in the main. � <br />....... L..... Water closet <br />........ Bath <br />......'...Urinal <br />................ Plain faucet inside <br />...............Side walk washer <br />..............Hose bib outside <br />I <br />I <br />l D[C 9 -1192 ✓ , <br />CITY OF EVERETT WATER [IEP'I <br />") ................. <br />......—...Hose bib for building purposes <br />.:Hose bib inside <br />...gib for stable containing ................... .stall .............. ..... <br />_ Number of persons in family <br />........,.Number of rooms in buildin <br />Thepremises are to be used as a�............................_.............................._. <br />The owner of the premises Is.....:C`.c5-......`.t�f�. .. „ ............... <br />Theagent is............................................................................................................._....... <br />This application, although signed, shall not be binding upon the City, until <br />accepted by the Supetinte n t e Wat ,Department. <br />Signed. ....... -.�%e.:.....kupe <br />........Applicant <br />Accepted ......142 �-...d.......'.-...192.... Hy.... .. ......rintendont <br />