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CITY OF EVLRETT-WATER DEPARTMENT <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />19 <br />G ✓i <br />TO THE SUPERINTENDENT OF THE WATER DEPARTMENT: <br />CITY OF EVERETT: <br />I hereby apply for the use of water in accordance uilh the rules and regu- <br />lations of the Water Department, for purposes and fixtures stated below. <br />During the time that auy of the water mains 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 ]aid, the City will not be required to furnish <br />water during the progress of such improvements to any consumer whose sup- <br />ply may thus be cut off, or be liable for any damages for its failure so to do. <br />Application No..1 ..... .._. ........_ <br />Block .............................. ..... .. .. Lot............nS .................. Add.......................................... <br />. <br />No ........... ._................... :G� .......... Street <br />......_.... ._.."... _............................................. ......._........................._..............__...................._._ <br />The work to be executed by. . .... ........................................................Plumber <br />!tale size of tap. <br />�.V.......Tap to be inserted in the main. <br />...... ...Water closet S- ' L-C <br />................ Urinal / <br />................Plain faucet inside L( <br />................Side walk washer <br />................Hose bib outside <br />................Hose bib for building purposes�`�u�"l <br />Hose bib Inside <br />................Bib ,'or stable containing .................... stSif':.':.:........ <br />.............,..Number of persons in family f�., <br />......�J.........Number of rooms in building <br />The premises are to be used as a ..................`.. ._. ..................... ,__..... <br />The owner of the premises Is ....... ........................... ........................................._._..... <br />Theagent is ................................ ................. .... ......... ............... ........................ .............. <br />This application, although signed, shall not be binding upon the City, until <br />accepted by the Superintendent of the Water Department. <br />Sib+ned... 1,,?1.15?::._�...."_`'la w Lif-4C Applicant <br />Accepted .... ---__._.................... By <br />Superintendent. <br />