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W. D. Farm 1 1500 0-1-17 C. P. G Il 1�/ <br />CITY OF EVERETT==Water Department' <br />Application for Water <br />All blanks must be filled in or trussed out <br />/I &?...----------191 <br />TO THE SUPERINTENDENT OF THE WATER <br />T:PARTMENT, <br />I hereby apply for the use of water in accordance with the rules and regula- <br />tions 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 of <br />uny improvements authorized by the Citv of Everett, in or of any street or alley in <br />which they may have been laid, the City will not berequired to furnish water during <br />the ogr liable for any damages for its failure <br />of such improvements; to dy consu to whose supply may thus be cut <br />off,r <br />o. <br />Application Nof..__�-� ---'per--------- <br />Block ._-_-_-. ---- <br />-'----Lot---- ------------- <br />No --------------7_Z.Q__ --- ;a. -Y .Street <br />The work to be executed by.. . <br />Plumber <br />S�e size of tap. <br />y1 ___ rap to be inserted in the main. <br />_Water closet <br />---J.. _._.Bath' <br />.Urinal <br />----- Plain faucet inside <br />Side walk washer <br />Hose bib outside <br />Hose bib for building purposes <br />Hose bib inside <br />---------- Bib for stable containing --------- <br />Number of persons in family <br />.__5 -__-Number of rooms in building <br />The premises are to be used as a ------------ <br />The owner of the premises is _ ---------- <br />The agent is.. -------------- <br />This application, although �f ed, s o <br />cepted by The Superintendent,/� e a ' <br />-------'--'---------- Z-- ---I- <br />KM <br />Signed _�:_ :__�oG=✓{F {�:__- _� <br />Accepted.. _r:-��-------�-191 Y- ____ --_ — <br />// _ ijll� <br />ac. <br />