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W. a. re" <br />CITY OF EVERETT—WATER DEPARTMENT <br />APPLICATI0144 FOR WATER <br />All blanks must be filled in of Crossed <br />//out <br />Everett, .......... _..... .................. 6.... ...7........................... <br />lg <br />TO THE SUPERINTENDENC1101Y' O E WARTEERR DEPARTMENT: <br />I hereby apply for the use of water in accordance with the rules and regu- <br />lations of the Water Department, for purposes ald fixtures staled below. <br />During the time that any of the water mall may be taken up by reason <br />of any improvem y maay authorized <br />been la d, ththe e City W ill not be required toin or of any treet or <br />furrnish <br />alley in which theysurner whose <br />ply mayuthi sthe cut oft, or be liable ress of such fora any damages for its failure sot do <br />�6 y.j"O <br />Application No............_.._...__._........ <br />... ✓,�.Ixe_ c.ttc c� <br />... Add..Ct..�t tf�Cs". <br />Block ..._.._......_.._................... I,ot,....._e�.. st....� .. <br />/ <br />�. /T.!ig. ..........simt <br />No...............4.'... '.y�/..-.3..3..-x' ......�. <br />................... <br />.................. Plumber <br />u tuber <br />The work to be executed by ... ..................... _ <br />.................... <br />Slate size of tap. <br />•„ ......Tap to be inserted :n the main. <br />................ Water closet <br />Bath <br />Urinal <br />Plain faucet inside <br />t?� <br />Side walk washer <br />................ Hose bib outside <br />..........Hose bib for building purposes 'We <br />Hose bib inside <br />Bib for stable containing ...................Mall................... / •3 s ; <br />�,,.. <br />.....Number of persons ir. inmily <br />,.......Number of rooms in building <br />The premises are to be used as a ................ <br />..........._................................. `, <br />The owner of the premises is............................................................................ <br />.................................................... <br />Theagent is............................................................... <br />This application, alth u�ii signed, shall n t be binding upon the City, until <br />accepted by theucrinte dent of the W�te�Ae ar ent. <br />C}�—�/. . ....... .. .....__......Applicant <br />Si, d............... �'�..ZC`5... . <br />.................. <br />Accepted .......... ........✓- .... ........... 1°....... By... ..............Su..p...e.rintend........ee nt. <br />