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A <br />W. D. 11e. 4-150a—E.P.a,.-6s6-2e <br />City of Everett —Water Department <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />�7/z <br />Everett. .................................. ..... ..... /....... ................... I Dz S.. <br />TO TBE 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 mnins may he taken up by reason <br />of any improvements authorized by the City of Everett, in or of any street or <br />Way in which they may have been laid, the City will not be required to fu^ntsh <br />water daring the pragress 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 ... 9.............. <br />1, <br />�'1......... Add .................::.....:.....:.'.....::. <br />Block.......q..........I........... .........j. t...7..�Z............ .. . <br />No ............ 9 I! .. ............. ........:.-.Street ��.o-...�'�..�...7 <br />The work to be executed by .............. ... .1r............. Plumber <br />State size of top. <br />----- Tap to be inserted in the main. <br />!........Water closet <br />„ <br />...... <br />...... I ........ Both <br />/`C50 <br />�IO <br />..—.........Urinal <br />......~..Plain faucet inside <br />..... ....—Side walk washer <br />....... ^..Hose bib outside <br />...... Bose bib for building purposes <br />if✓) <br />,......-..Hose bib inside <br />.......`._..Bib for stable containing....................stall.................... <br />.......—.Number of persons in family <br />.......:.....Number of rooms in building <br />, <br />The premises are to be used as a. ... <br />The owner of the prcmisLs is...... <br />. . . .... ........... <br />. .. ..................... <br />Theagent is ............................. ............ ........ <br />.................... ........................ ............ <br />This np <br />accepted by <br />Accepted...... <br />pliention, although signed, shall not be binding upon the City, until <br />the Superintendent of <br />the Watery D,,epraarrt�ment. <br />Signed ........................F�...Q 114JA't�-�... .... ..... pplicant <br />..1pE,,-y: Ely.... ....... <br />.:.A, ...... .............. <br />rr,, erintendeat <br />i <br />