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W. D. Fran J- 1600—E.PXC--6.26-24 <br />City of Everett --Water Department <br />'A ION FOR WATER <br />All blanks must be filled in or crossed out <br />Everett ............. ......... <br />✓••'....`............................... 192.,i <br />O 'iHE SUPERINTENDENT OF THE WATER DEPARTMENT: <br />CITY OF EVERETT: <br />I hereby apply for the use of water in accordance with the rules and regu- <br />lationr, of the Water Department, for proposes and fixtures stated below. <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 Everett, in or of any street or <br />i alley in which they may have been laid, the City will not be required to furnish <br />t 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 ..... Cr,/ ..1..............- 17 R 1 o <br />Block................%..'P... !........... Lot....... '.7 .......................... Add.................. <br />/�d/ — 32 <br />..... ........... .... ............................................................. ........................ ..... .............. ........................ <br />The work to be executed by,.........................o_`.......... ........_.........Olumber <br />P <br />State size of tap. •�3_y5'`� <br />... Tap to he inserted in the main. ? �. <br />....... /....... Water closet <br />......(........Bath <br />.........`......Urinal <br />...... _7r.....Plain faucet inside _ <br />'-... Side walk washer <br />..............Hose bib outside <br />...........Hose bib for building purposes <br />..........T....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 n... __./...I...�.... '. .......... .. .............. <br />1i The owner of the premises �..EGf�. <br />Theagent is...................................................................................................................... <br />This application, although signed, shall not be binding upon the City, until <br />accepted by the Superintendent <br />s/Aofthe Water Department. <br />Signedy..... "Y'L ........ ....................... pp ant <br />Accepted.........,�%...:�I.,>.1�J2..,?.. BY... ..... ..............................` <br />!/ / Superintendent <br />