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W. D. Form 1-156e—£PX&-6-26.24 <br />C:t)T of Everett -- <br />'Water Department <br />API LI+"ATION FOR )WATER <br />All blanks must be filled in or crossed out <br />Everett, ........ eR.... ...........192... <br />.................. <br />TO THE SUPERINTENDENCITY OTHE F EE WATER DEPARTMENT: <br />regu- <br />lations ofetheyWatar De artment, for purposes ly for the use of water in cand of fixtures stated rulesnce with the regu- <br />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....p..�y...�'..2.................. <br />Block..... _L�...�...%._............... Lot. .�..?......�..�...... Add.- ............ ........................... <br />�f C-G- Street <br />...................................................................... .................... ........................................... <br />The work to be executed by....... <br />. _(j�................Plumber <br />State size of tap. <br />..'1..2..... Tap to be inserted in the main. <br />..........Water closet ......... Bath - <br />................Urinal <br />__........ Plain faucet inside <br />................Side walk washer <br />... t..........Iiose bib outside <br />.....Hose bib for building purpose.: <br />................Hose bib inside <br />................Bib for stable containing .................... stall ................ 1,3 <br />....... 1......... Number• of persons in family r <br />.....:1.Number of rooms in building <br />The premises are to be used as a..... ..J...• ........... <br />The owner of the premises is ........ <br />Theagent is ... ..................................... :......... _................ .................................................. <br />,is application, although signed, shall not be binding upon the City, un 'I <br />acre,-.d by the Superinten ent of the Water Department. <br />_Sfig�n'e.d................. .....Applica.n <br />2. ...... <br />_`e.rinendent <br />