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W. D. Form 4-1600-8P.Co.-626 26 <br />City of EverettWaterDepartment <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed oLt <br />i <br />G. �1i2f/�f -. ...192.lp. <br />TO THE SUPERINTENDENT O THE <br />EW.kTEVERETT;DEPA.RTMENT: <br />CITI 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 improvemcrits 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•(Jb'e,, l//iggble or ' ny damages for its failure so to do. <br />Application No ..... .Q..7... ...�.......... <br />I <br />1. . <br />F....... // . Add ...._........:.... ...:........_._ <br />Block............: ................. Lott',.............. <br />/..71_a. — �...._....S <br />No.... ......... .........: �. 6........'..................Street <br />The work to be executed by ..................... .t.^...... ...................Plumber <br />Stat size of top.- <br />i� <br />Top to be inserted in the nrni <br />....L..........Water closet <br />!...........Bath lIFR - 3 It) 26 °t <br />,..—.......Urin¢l <br />CITY OF EVE3fT-fi V/AT--R Cc?'T <br />;� .- Plain faucet inside C'•••••..... ~' <br />....-'.....Side walk waster <br />..../........... Hose bib oul5ide <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 ..... -..... ...U�1-<JA1.... �....,.�.............................. <br />The owner of the premises iS!(r.C/+ �+�'/`��!••�G�"'�"' <br />eagent is..'.::................................................................... ..........................._ ............ <br />rl'.caaion, although signed, shall not be binding upon the 1ty, until <br />the Superintendent <br />��ofyy��th Water Department. <br />.egned.....�G/!J••••.'....... .1.......... pplicant <br />• ' ,. .......192(p BY...... .. _........ ......................dent <br />r <br />��� """"'�ltendent <br />