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W. D. FarmCIT! OF EVERETT-WATER DEPARTMENT <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />Everest,....f...... <br />TO THE SUPERINTENDENT OF THE O EWA ETR�'DEPARTMNT: <br />CITyI hereby apply for the use of water in accordance with the rules and regu- <br />lations tWater Department <br />' purposes and <br />d below. <br />Dnghe time that anyofthe for watrmain may be takefixtures n up by reason <br />of any improvements authorized by the City of Everett, n or of any street or <br />alley in which they may <br />a f been such improvements to l any consumer whose uired to r Ph <br />SUP - <br />water during the progress, <br />ply may thus be cut off, or be liable for any damages for its failure so to do. <br />Application No-, Iz .:i3I 6.--•-'-• <br />Block........................................ Lot........................................ Add........................................... <br />Street <br />The work to be executed by... <br />State size of tap- <br />/ ...........Tap to be inserted in the main. <br />................Water closet <br />................Bath I-AAli <br />................Urinal City► �,� "D <br />................Plain faucet inside w� <br />............. Side walk washer Lam' <br />..........Hose bib outside <br />...,-,•......... Hose 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 />................ <br />The owner of the premises is................................................................ <br />The agent is ......................... <br />gh signed, shall not be binding upon the City, until <br />This application, althou <br />accepted by the Superrii�ntenAdeelnt,o_f the Water Department.Signed.:r�%k�i.GGL.........................................ApPllcant <br />. .rote . ent......... <br />Aceppted........... ............................. .... 19.:..... Y•-............................Superintendent. <br />