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C.nrr> 3-r-19 rA <br />W. D. Fopn A 1500 3-1-17 C. P. <br />CITV OF EVERETT==Water Department <br />Application for Water <br />All blanks must be filled in or trussed out <br />Everett,--- - ..----------191 i----- <br />TO THE SUPERINTENDENT OF TY OF 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 />any 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 be required to furnish water during <br />the or liable for any progress <br />damages improvements <br />to its y so consumer whose supply may thus be cut <br />oft, <br />1 n <br />Application No ..... -7_:t _.-------- <br />66 ---- <br />Black .._� J-�.' -----_Lo[—' � _____________Add___-..- - <br />'--'-- <br />.-------a7- 0 7..-- <br />Z-�_.____ .___..Street <br />No <br />The work to be executed by________________ <br />--_. ------------------- Plumber <br />State size of tap. <br />1a.--- Tap to be inserted in the main. <br />"r^ <br />__ __Water closet % .- <br />t <br />-----Bath <br />-------- .Urinal f� <br />. _._--- <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 />3--- Number of rooms in building ' <br />The premises are to 6e used as a .................... .... <br />------ <br />The owner of the premises is _______________. _. _-- <br />Theagent is. ---------- '------------------- --------------------------------- <br />This <br />application, although signed, shall not be binding upon the City, until ac- <br />cepted by The Superintendinty the <br />Water Department. <br />Signed -- / -J --'1��-`-`---�"' --Applicant <br />-p_-__ --_19� By_1�'� <br />AC[ept ---- - --- Superinlende <br />