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AV. D. Form /—i600—E.P.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 />={1 Everett.......................................(� ..... _........ .............. 192.5. <br />TO THE SUPERINTENDENT OF THE WATER DEPARTMENT: <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 moles 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._Jy............ <br />16 1 Add............ •...::. <br />Block............_�...................�...... Lot......((.��1..5 ........................ _...... <br />No.........�...I.. L.........I.S1s?.-��i�.11..�l! ..........Street <br />............. _... _.................... .................. .............................. <br />The work to be executed by ............... _....... ..... .. ....._.Plumber <br />.... ......................... . <br />Slhtea size of tap. <br />f/ <br />'[.........Tap to be inserted in the main. <br />.... 1'1- ..... <br />Water closet <br />................ Both <br />................Urinal <br />................Plain faucet inside <br />................Side walk washer <br />VVII �, o <br />............ Hose bib outside f <br />................Bose bib for building purposes O \ <br />.... ........... Hose bib inside do <br />................Bib for stable containingO ti <br />. Number of persons in family <br />- _..Number of rooms in building <br />The premises are to be used as a ........ .. The owner of the premises is .......................... ......... Sl..li.............. ........ <br />Theagent is.................................................................................................................. <br />This application, although signed, shall not be binding upon the City, until <br />accepted by the Superintendent of the Water pepartment. , <br />