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w.a F.,m t <br /> CITY OF EVERETT-WATER DEPARTMENT <br /> APPLICATION FOR WATEM <br /> All blanks must lie filled in or crossed out <br /> Everett,- . __ _.............. <br /> i............ 19. _. . <br /> TO THE SUPERINTENDENT OF I'VE WATER 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 staled 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 sup- <br /> ply may thus be cut off, or be liable for any damages for Its failure so to do. <br /> Application No...�fG'..-'..G.I................ <br /> Block........................................Lot............. ..... .................. Add... _......................... <br /> No........... .�,...........( ...:1....,(..........................................:...........Slrnh - Y <br /> ..........................................................................................I.................. ......... t <br /> The work to be executed by... ....................................................'....._'....P1Umber <br /> Sltatepize of tap. ) P64 <br /> y rap to be Inserted in the main. � j a_.._. <br /> ................Water closet dy Qf Everett, <br /> ...Ga......Bath WA-1 LR Pf En A (' <br /> ................Urinal <br /> ................Plain faucet Inside �' F <br /> j ................Side walk washer <br /> ._.............Hose bib outside <br /> ,f,. /�,� / .✓- <br /> ................Hose bib for building purposes <br /> ................Hose bib Inside <br /> i <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...................................__._. ..... ... ..... _......_..... <br /> The owner of the premises is. .... ........._ _. _......._. ..... .... ... .. .._ __... <br /> Theagent is. __......_....._. .... _...._..... ...._.........___.___..... <br /> This application, although signed, shall not be binding upon the City, until <br /> accepted by the Superint (y/►-ef thee ter Peparl.,aenl. <br /> Signed...,/ Y.....FI.I..I..lZ�l..f-..............................Applicant <br /> Accepted....... _....................1B....... By.................................................................... <br /> Superintendent. <br /> i <br />