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W. D. Pnrm { 1500 3-1-17 C. P. <br />CITY OF CAEh ETT==Water Department <br />Application for Water <br />311 blanks must be r ed in or crosse�il .,,�f// <br />Everett,. __._/ /v .---------- 191!/-_-- / <br />TO THE SUPFRINTENDBNT OF E WATER DEPARThIPNT, <br />CIT OF Ii JERE7"f: <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 />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 <br />the progress of such improvements to any consumer whose supply may thus be cut <br />off, or be liable for any dpm3agys fgr its failure so to do. <br />Application No___________ ------- ) <br />Block ._-�-/..✓�__ —L <br />__-_Lot_1__O _ _ Add..____.__-_________ <br />No. ... /------_ ---'-------- -----------.Street <br />-------------------- ' ----------------.-- --- ------- --------------------- <br />The work to be executed by_ ______________________________________ Plumber <br />6 Ste z t tap. <br />Tap to be inserted in Ole an D <br />h <br />__________Water closet <br />---------- 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____________ stall. --------- <br />---------- Number of persons in family <br />---------- Number of rooms in building <br />The premises are to be used as a ------ ._..------------------ _-------- --- <br />The owner of the premises is __-__.. _.____.....______ <br />Theagent is.._-__-____..__________________ --------------------------------- <br />This application, although signed, shall not be binding upon the City, until ac. <br />cept-d by The Superintendent of the Water Department. <br />.._.,�, Signed_!-(�y�F'L 17 <br />�_______ _____ --- <br />Applicant <br />Accepted_X./)-,?'5X_191 <br />/�`" Snp<rintendem <br />Ji <br />