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w. D. rcrm 4—t000—E.eco:-s-2s-z4 <br />City of. Everett Water Department <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out / <br />Everett ..................G:.:L-//RR- /Jf •• ........192a..� <br />TO THE SUPERINTENDENT OF THE <br />OF EVER TT DEPARTMENT: <br />I hereby apply for the use of water in accordance with the rules and regu- <br />lotions of the Water De ualment, for purposes and fixtures stated Wow. <br />During the time that any of the water mains may be taken up by reason <br />of any improvements authorized by the City of Evercit, in or of any street or <br />alley in which they may have been laid, tha City ndll 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......,3••1.............. y�av-c. <br />�1 ........... .............-`_. <br />Block........ .....�.:%el.� ...... ... Lot......." ........ ................... Add ....�.y.�.7.� <br />No .......Street;j'.-I%� <br />... <br />The work to be excepted by.. <br />... <br />.................................................................. <br />Plumber <br />" "'C' By this application I agree <br />SAS <br />of tap �,�y/&.' <br />3�f. Tap w be ierf�A �h m to pay for the installation <br />S(^a metered connection and <br />._;cater clo urther agree to pay a <br />................Rath rlT, or Eyyy�'���ppp1 31931FT imum of $3.00 per month <br />........._...UrinA. V E /' 'WATER p� this metered connection <br />......Plain faucet inside as agreed upon by the City <br />.....Side walk washq Council of Everett- <br />................ Hose bib outside <br />............. ..Bose bib for building Purposes <br />• ...............Hose bib inside <br />........... .... Bib for stable containing .................... stall .......... <br />• ...............Number of persons in family <br />..........Number of rooms in building <br />The premises are to be used as a- ........ <br />The owner of the premises is ...... r....�....----- <br />Theagent Is............. ...... ............... .................. ....................................................... <br />"his applicntion, although signed, shall net be bindlug upon the City, until <br />',I'by the Superintendent of the ater t)epartmem. <br />rye <br />Signed ......�f....................... ...4_ry ................. pplio nt <br />AcL.,'ed ..3 '�.�-/1U2...... IIy..._.(.,. /�J'-✓. ... ... <br />Een <br />