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W. D. Form 4— 1666—E.l'.Co.-6-26-24 <br />amity of Everett Water Department <br />APPLICATION FOR STATER <br />All blanks must be fiilo;i in or cro'ssed o/ut <br />Everett..................................T"""... ?�.p ........... <br />TO THE 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 />lations of the Water Department, for purposes 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 />alley in which they may have been laid, the City will not be required to furnish <br />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 ........... <br />Block.........�t'f�:........................ Lot_9................ Add ............. ..................... <br />.. <br />No........... ��.... .. .......................Street <br />• <br />The work to be executed by ............. ............... .........Plumber <br />11 S to size of tap. <br />..........Tap to be inserted in the plain. " <br />.............Water closet <br />../............ Bath Ij <br />......Urinal <br />... L".....Plain faucet inside ..... ., ............ <br />Side walk washer ..... <br />...:.......Hose bib outside 1i////d aaaa7 H. N!6 li3L'?rg l0 <br />=77:7 .Hose bib for building owes 1 11; <br />----.Hcsc bib inside <br />."....Bib for stable contaim g................. <br />Number of persons in family <br />// 4 <br />-.-(.........Number of rooms in building ' <br />The premises are to be uVd as a...................... <br />r n^mer of the premises is.......... p � ...,.... . ..f... .. .. <br />:lcation, althoug signed, shall not be binding up y, until <br />-tie Superinte9d of the Nyat7/1)"5rtmgltj Q <br />d..,.,�'�...[-1 f7._: ........197V <br />