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w. D. 1.. c—r oo—&r.co.—s-zaz� <br />City of Everett —Water Department <br />ALTION FOR WATER <br />,]links must be filled in or crossedout <br />��77 <br />Everett ........................... 0 �./............................... 102.f.... <br />TO I'll L:'.`URINTENDENT OF THE WATER DEPARTMENT: <br />CITY OF EVERETT: <br />I hereby npply for the use of water in accordance with the rules and regu- <br />lations of the Water Narttnenl, for purposes and fixtures stated below. During the time that any of the water nmins mny be taken up by reason <br />of any int rovements 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.......... .7 i — 9 :2,33 <br />................... <br />Block.......... .................. .. Lot.._3..�..^....��.....�.:......... Add.-................................... <br />No......t .4 Z.. ............ ....... . ..................Street <br />........ <br />--------......................................._... <br />The work to be executed by....... <br />...................................... . <br />._ ........................... <br />ate size of inp. <br />Plumber <br />2 <br />.............Tnp to be inserted in the main. <br />en <br />--:77-,Water closet <br />r.... ....Bath <br />'—..Urinal <br />/l-iWv <br />................Plain faucet inside <br />-............Side walk washer <br />• ...............Hose bib outside <br />-..-'...Hose bib fur building purposes <br />l{ � c 1 j' I � •, <br />" ...............Hose bib inside <br />- <br />- ..............Dib for stable containing ................... . <br />htnll........:..:::,;pzr <br />•---.........Numbnr of persons in family <br />N... <br />.... .... Number of rooms in building <br />t <br />The premises are to be used as a ................. <br />.................................... ........ <br />The owner of the premises is . ..�_..... .. ........ <br />The agent is ............................. <br />This Application, although signed, shall not be binding upon a City, until <br />accepted by the Su crinte�nnddeent of the Water Department. <br />pplicant <br />.......... <br />Accepted ....... .%�.. ...192.�%.'.' Dy.......�..... - <br />upefintemi. <br />ent <br />