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w. D. Form 1-1500—E. P.Cc.-5-26-24 <br />City or Everett --Water Department <br />APPLICATION FOR WATER <br />All bbmks must be filled in or crossed out / <br />..5 <br />Everett,......................................................... .............192�.. <br />TO THE SUPERINTENDENT OF <br />THE WATET DEPARTMENT: <br />CITY OFI hereby npp1Y fortileuse of water in accordance with the rules and rcgu- <br />1¢tionsof the During the Water <br />time tliatt any of thfore wlater maoses in s mayres be taken upbybelow. <br />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 laid, the City will not be required to furnish <br />water during the Progress of such improvements to any consumer whose supply <br />ny damages for its failure so to do. <br />may thus be cut off, or be liable for u <br />Application No......... ................. <br />Block...._7..3..�........... Lot,.*;, y-l--rZ..... ... <br />.......... _... .. .................................... <br />No ............... 1..22 "•- •- `-....Street <br />The wort: to be executed by ............................ _. ......_.. __ .._...__........Plumber <br />State size of top. <br />.......Tap to be inserted in the main. (_A-,(9 <br />1.......Water closet O <br />_...Urinal........Plain faucet inside LY v y <br />.,_Side walk washer <br />„ -::..Bose bib outside <br />bib for building purposes <br />................ Bose bib inside <br />..Bib for stable containing....................stall.................... <br />..�-- <br />..........—...Number of persons in family <br />....... _....... Number of rooms in building <br />The Premises me to be used as a - <br />The G.. .._. .. <br />The owner of the Premises is... .. <br />.......... <br />Theagent is.............................................................................. .....................until <br />This aPPliention, although signed, shall not be binding upon the City, <br />accepted by the Superintendent of 1tthheWater <br />` DDepp/ar�rttment. <br />ca t <br />Signed......................... .................. <br />Accepted ....[Y..." -%�•.. .... ..19ti. BY"'- ' • rintandent <br />