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5 <br />-'W. 0. 1'Gim 4 150D 0-1-17 C. P. <br />CITY OF EVERETT==Water Department <br />Application for Water <br />All blan)CY <br />• Bled in or crossed nut _ i <br />9--- <br />Evcr-. /--------191- <br />TO THE SUPERINTENDENE WATER DEPARTMENT, <br />OF EVERETT: <br />I hereby apply for the use of water in accordanc. -pith the rules and rcgula- <br />lions of The Water Ueparnn_nt, for purposes and fixtures stated below. <br />During the time that any of the water tnniny may be taken up by reason of <br />:my improvements authorized by the City of Everett, in or of any street or alley in <br />which they may have been laid, the City will not be required to furnish water during <br />the progress of such improvements to any consumer whose supply may thus be cut <br />off, nr be liable for any damages for its failure so m do. <br />Application No____'J___o _----------- �' <br />Mock .`.;2-_5____ ___6-- _..___ Add__-!=.___._ <br />n t/..Street <br />No... - <br />_.-- --wi <br />_____________ _------------------------------------------ .-_ <br />------- <br />The work to be executed bY... ------------- --------------- ----- "---- Plumber <br />State Size of tap. <br />Tap to be inserted in the main- <br />---------- <br />%1 <br />--Water closet <br />--- Beth <br />_ .Urinal <br />___Plain faucet inside `.. <br />---------- Side walk washer f <br />---------- Hose bib outside <br />Hose bib for building Purposes <br />..Hose bib inside <br />--------- Bib for stable containing ------------ <br />st <br />___ _ _Number of persons in family <br />_-__lr_Number of rooms in building <br />The premises are to be used as a ---------------- -- ---- <br />The owner of the p,•u.lses is ------------------ ______________________________ <br />The agent is .----- ----- <br />This application, although signed, shall not be binding upon the City, until ac- <br />•-^pted by The Superintendent of tile Water Department. <br />(//'� <br />Signed -'�_-_ Applicant <br />lq� ----- <br />- Superlmendem <br />