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W. D. Form 4-1000—E.P.Co_546-2I r. <br />City of Everett—Woter Department <br />TCATION FOR WATER <br />a All blanks must be Silted in or crossed out <br />. Everett ............ ..�7......._.._...._............_.........1!)2 <br />TG rli;; SUPERINTENDENT OF THEWAE R DEPARTMENT: <br />CITYI hereby apply for the use of water in accordance with the rules and legu- <br />lations of the water Department, for purposes sad fixtures slated below. <br />During the time that any of the water mains may be taken up by rcnson <br />of any improvements authorized by the City of Everett, in or of any street or <br />alley in which they may have been Iad, 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.....0..21.7............... <br />Block........................................ Lot..a..?...-..a 6......... Add .................................. <br />0 r <br />The work to be executed by-.. --- <br />- -- .----.— ... ... ........ ..... -.. Plumber <br />4/ <br />State size of top. /k <br />By this applicution I agree <br />31r�.Tap to be inserted in the main. <br />to pay for tho inatnllation <br />................ Water closet <br />of a motored conaocti.on and <br />I further ngree to pny n <br />.........Bath <br />ninimtm Of ', .1.00 per month <br />Urinal <br />""""".......4 <br />on thin motored cottnoction <br />................Plain faucet inside <br />as agreed upon by the City <br />................Side walk washer <br />Council Of Veratt. <br />................Hose bib outside <br />................Hose bib for building Purposes <br />................Hose bib inside <br />• ...............Bib for stable containing .................... <br />stall ............. ....... <br />................Number of persons in family <br />................Number of roans in building <br />The premises are to be used as n .._....... <br />The owner of the premises is.�.f.!n^2.__. <br />...._........................................ <br />_.C?iLAn^.c.. .............. <br />Thengent is .......... ............................. ........._...._............................................................. <br />This application, although signed, shall <br />not be binding upon the City, until <br />necepted b; the Superintendent of the Wa'er Department. <br />Signed.. .... .......c!. �... <br />$ ..... 1 Applicant <br />Accepted.........f..r. ....By....( <br />/ / <br />ti.. <br />�.........1D2. ; .....�f/ ...........' <br />��Buperintendent <br />