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t <br />W. D. Form 4-1500—E.11 -4-26 2/ <br />City of Everett-- Water Department <br />APPLICATION FOR "WATER <br />All blanks must be filled <br />di/m�in--oa�r crossed out <br />Everett ............ [ai�tifC�' a'_r't,........ <br />.............19?.l'a. <br />TO THE SUPERINTENDENT OF THE WATER'DEPARTDIENT: <br />CITY OF EVERETT: <br />I hereby apply for the use of water in accordance with the rules and rcpu- <br />lotions of the Water Department, for purposes and fixtures stated below. <br />During the time that any of the water mains may he taken up by reu,on <br />of any improvements authorized by the City of Everett, .n or of any street or <br />alley in which they may have been Inid, the City will not be required to furnish <br />water during the progress of such improvements to any consumer whose Eupply <br />may thus be cut off, or be liable for -any <br />claninngges for its failure so to do. <br />Application No...g...J .2-i.5 ....... <br />Add..___....___ _..._........:....... <br />The work to be execute b.. ......... ... ...............Plumb r <br />Sla size of top. <br />;.< - <br />t— <br />>y t is applicatiorsf��o <br />d' L/.........Tap r to inserted in main, to pay For tho inat0.11ation <br />...... Water clo;c� "• . a / o so'-ltocticu rind fir -!Re_ <br />.Bath <br />................tlrinnl ��y_ J1O. I further agree to <br />Plain faucet inside nay a minimum of '.UO per <br />................Side walk washer <br />month on this metorcu connac- <br />tion as ogruod upon by tho <br />..............Hoes bib outside City Council of Evnrott. <br />...... ....Hose bib for building purposes <br />.........r—Hose bib inside <br />...... ..Bib for stable containing....................stall.................... <br />.. ........... Number of persons in family <br />.... 0— .... Number of rooms in building <br />The premises are to be used as a.��...... a.._ /"i.t.� '. ._._. ....._..__..._........ _... <br />The owner of the premises is ..... Ll..,......... <br />Theagent is ... '...... -.............................. .............. <br />........__..`--............................................ <br />This application, although signed, shall not be binding upon the City, until <br />accepted by the Superintendent of the W i4upp <br />9igned.���..._Applicant ........Accepted... ... 0.... .........192 f� By.. _rintendent <br />