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CITY OF EVERETT==Water Department <br />Application for Water <br />All blanks must be filled in or crossed out <br />Everett.--_._._.__t/f/4=_--...�_�. �.______ 191'n.___ <br />TO THE SUPERINTENDENT OF THE WATERQ,EPARTMENT, <br />CITY OF EVERETT: <br />1 hereby apply for the use of water in accordance with the rules and regula. <br />lions of The Water Department, for purpnses and fixtures stated below. <br />During the time that any of the water mains may be taken up by reason of <br />any improvements authorised by the City of Everett, in or of any street or alley in <br />which they may have been laid, the City will not be required to furnish water during <br />the progress of such improvements to any consumer whose supply may thus be cut <br />off, or be liable for anydda ages for Pure so to do. <br />Application No.__ / <br />_O <br />p/ ____________ <br />Block a�� - .�_'_)/f/�,tAdd ----------------- <br />- ._ <br />_.--!' . Street <br />The work to be executed by -------------- __•---------- .__._ PPllumber)(;;r <br />State /sy'.e of tap. .__/�i C. <br />to be inserted in the main. <br />--------- Water closet - —•r�V zg — - <br />________Bath <br />------- .Urinal <br />________ Plain faucet inside <br />---------- Side walk washer ' �1 <br />i •; <br />---------- Hose bib outside t f 19)0 <br />---------- Hose bib for building purpo. <br />---------- <br />bib inside <br />__Bib for stable containing <br />_ _ _ _ .. _ _ _. Number of persons in family <br />_ __..----- Number of moms in building <br />The ptemises ate to be used as a -------- _------------ ............ ... <br />The owner of the premises is ___________________ <br />Theagent is............................... ......................... <br />This application, althoug:r sigmvi, shall not he binding upon the City, until ac• <br />cepted by The Superintend t of the Water D tartment. <br />Applicant / <br />Accep:eel _ i 11_ By. ___________________ <br />y <br />SuOerintendenr <br />