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W. Farm 4 <br /> CITY OF EVERETT-WATER DEPARTMENT <br /> APPLICATION FOR WATER <br /> All blanks must be fill in or crossed out lye/ <br /> Everett......... a .......c ..................................lt ..l.. <br /> TO THE SUPERINTENDENCITrHiE Y OF EVERE R DE�RTMENT: <br /> I hereby a ly for the use of water in accordance with the rules and regu. <br /> lotions 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 <br /> of any h <br /> iInarovements authorized by the City of Everett, in or of any street or <br /> alley in wich they may have been laid,the City will not be required to-urnish <br /> water during the progress of such Improvements to any consumer whose sup- <br /> ply may thus be cut off, or be li b.........le for any damages for Its failure so to do. <br /> Applicatio No...(...!1 r�" ... .:. .. <br /> 4 J <br /> .......... Ad/1Lt...1L:r.¢!1'.... <br /> / �1............ <br /> Block........................................Lot............. <br /> r <br /> No....... ......:...........Street '. <br /> ............................................................._............................................._......... <br /> .. ........Plumber <br /> ............................. <br /> The work to be executed y............................. �� <br /> S t size of tap. <br /> —511,..¢......Top to be inserted In the main. �' )� C•n <br /> Water closet � C . <br /> ..........Bath , <br /> ................Urinal <br /> ................Plain faucet Inside <br /> ................Side walk washer <br /> ................Hose bib outside .. <br /> ................Hose bib for building Purposes <br /> r� <br /> ................Hose bib Inside <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 /> . . ... ...... <br /> The owner of the premises is. l..._u <br /> This application, although signed, shall not be binding upon the City, until <br /> accepted by the Superintendent of the Water <br /> �JDepartment <br /> . I// <br /> Signed..... r-:isl.n.7.7,..�........f1. /....Ldf,. Y ....... ......APPlleent <br /> .................18....... BY.........../l�lf ....... <br /> ............................................... <br /> Accepted.......... .. ._..... Superinlendenl. <br />