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Enr?��-sS%9S�lTj <br />W. D. Farm 4--1000—EP.Co.-626-24 <br />l-14-vPhw <br />City of Everett —Water Department <br />APPLICATION FOR WATER <br />All blanks must filled in or crossed out <br />i <br />Everett,........./...�/2z...5...........................I......192...... <br />TO THE SUPERINTENDENT OF THE RATER DEPARTMENT: <br />CITY OF EVERETT: <br />I 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 tire 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/liiable for any damages for is failure so to do. <br />Application No ..... 1 C L.1..r(................. <br />Block...............j................. <br />/Lot...,..,y.....1. ................... Add... .... ..}sdr' <br />No....... ...�I.... .,... ...- .!......�...............................3treet <br />The work to be =routed by.......... .. _c!L... .... .......... Ylumaer <br />State size of tap. �/ S--' <br />... /Q.....Tap to be inserted in the main. <br />..............Water closet _ <br />...... /......... Beth <br />....:.....Urinal <br />...... 2-:...Plain faucet inside <br />....'....Side walk washer <br />.......... bib outside <br />......-'....Hose bib for building purposes <br />......':.'.....Hose bib inside <br />L <br />...........Bib for stable containing....................stall.................... <br />.....-......Number of persons in family <br />..............Number of rooms in buil <br />T le premises are to be used as a ...............`1�.....^..... ... The owner of the premises is...................................................................................... <br />Theagent is...................................................................................................................... <br />This application, although signed, shall not be binding upon the City, until <br />I by the Superintendent o the%WWa�ter Department. <br />Sgned....f/.l.r..4... w................................... .. .........Applicant <br />1..��-.:..... 112...... By.. ...... .. . ................ <br />endent <br />