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W. D. Form ♦ 1500 0-1-17 C. P. <br />CITY OF EVERETT==Water DepartmeM <br />Application for Water <br />All blanks must be filled or nut n <br />1 L4+1 J 4 x y4 ' £ 5, + , <br />Everett,----- - ------ -.19'ly ,,it <br />'£�, <br />TO THE SUPERINTENDENT OF THE WATER DEPARTMENT <br />CITY OF E`lERETT: ^N' €.x,tv <br />I hereby apply for the use of water in accordance with the rules and regula- <br />tions of The Water Departm_nt, for purposes and fixtures stated below. <br />During the time that any of the water mains may be taken up by reason of <br />any improvements authorized 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 &+S, ' d s <br />_ the progress of such improvements to any consumer whose supply may thus be cut <br />off, or be liable for any damages or 'ts failure so to do. <br />%J <br />Application No,___ J_______ <br />Block ._ 6 6 --- --_---Lot--- ` -_- _. _ -%dd. ._- `JI�- <br />% ------ ,ems 4 ,3 <br />No.---__�{__ __, _.�2a/r '..Street <br />^^�,{, <br />The work to be executed by. _ __. _ Plumber <br />_____________ _'--_ <br />Sate a of tap. - jr,'; �. IJ <br />S <br />Tap to be inserted in the main. <br />_ ____.__Water closet <br />.. /_-.Bath <br />v <br />-------- .Urinal ._ ___ --Plain faucet inside Mtfk.tn"'+rx <br />______Side walk washer ' gp, <br />---------- Hose bib outside 40- <br />-_ ___ -.Hose bib for building purposes <br />_________Hose bib inside r� <br />------ _... Bib for stable containing.__. -------- 1f��_ w �� t' :�'z,? l r <br />---- . __.Number of persons in family f1 r xn =�1 <br />_-_-- __-Number of rooms in building <br />The premiseF. are to be 4-d as a _ _ _______________ <br />The owner of the premises is ------------------------------------------------ <br />The <br />agent is.._________.--______----------- ----------- <br />--------------- <br />This application, although signed, shall not be binding upon the City, until ac <br />cepted by The Superintendent o Water Depar 1 e t. <br />4 Signed ---- - .. _ - -- - - - --- ------ I ant <br />x Accepted /n J------. _11 <br />+ 7`_____ Superintendent <br />tt <br />.. mt.* <br />