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W. D. Form 4—t600—F.P.Co.--6-26-24 <br />City of Everett —Water Department <br />APPTICATION FOR WATER <br />All blanks must be filled in or crossed out <br />Everett..............: L...........:3_................................. 92.... <br />TO THE SUPERINTENDENT OF THE WATER DEPARTMENT: <br />CITY OF EVERE TT: <br />I hereby apply for the use of water in cceordance with the rules and regu- <br />lations of the Water Department, for purpose-, and fixtures stated below. <br />During the time that any of the water it sins 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 furn;sin <br />water during the progress of such improvements to any consumer winces supply <br />may thus be cut off, or be liable for any damages for its failure so to do. <br />Application No.........SE?.93 . % % J <br />Black......��.... .g................. Lot l5-1�:.................. Add...../.:�:_.....�....:........ ._...... <br />No.... .. .... I ... A....... .............................Street <br />The work to be executed by ..... _...._..... _......... ....... .................Plumber <br />St a size of tap. <br />to be inserted in the main. ry c+ a <br />...............Water closet � <br />.............Bath <br />---=.Urinul <br />........... faucet inside"77777 <br />.t i <br />Side walk washer <br />� } <br />.....Hose bib outside <br />Op •f 9 / <br />E4thfn' 79 <br />...............Hose bib for building purposes <br />..., <br />................Hose bib inside• <br />:F�1j-�orT <br />................Bib for stable containing .................... <br />stall .............. _... <br />—:777=umbor of persons in family <br />...........Number of rooms in building/ <br />The premises are to be used as�a....... ((.................. <br />... .............r.? r........................ <br />The owner of the premises ie..4.:...:..�hJ.-* .:.`.-..................... <br />Theagent is...................................................................................................................... <br />,this application, although signed, shall not be binding upon the City, until <br />cepted by the Superinf,endent,of the Water Department. <br />pted...... ..........I12 <br />