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_ G <br />W. D. Fo,o . <br />CITY OF EVERETT-WATER DEPARTMENT <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />Everett,....._. __._... 7 • //� t9.(^...% <br />TO THE SUPERINTENDENT OF THE 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 ater Department, for purposes and fixtures staled below. <br />During llte 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, orbe liable for any damages for its failure so to do. <br />Application No.....,/..4.....7.��...�.. ..... ',// // <br />Block..................... ..... ........ <br />...... _........ Add�t7r/.c! e.F..... <br />No............._..l....� d l '" . 7....-Z`...............__....:...........street <br />... .......... . <br />................................................................... <br />The work to be executed by .............................. _._..._....... ................Plumber <br />Stale size of tap. <br />�.�.........Top to be inserted in the main. <br />../....Water closet <br />!dlBath <br />................Urinal .XC /4�� atclLC�j�t'tG <br />................Plain faucet Inside <br />........ Side walk washer <br />% <br />............... Hose bib outside <br />._ .............Hose bib for building purposes <br />.............._Hose bib Inside <br />................Bib for stable conlatning.................... stall. ............ ...... <br />$ <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 th�r•City, until <br />accepted by the erintend/pnt•of the Water Depar►npnL <br />SI ed._.�Xrt ee�.--......./�".S .Kp lfcant <br />Accepted._.. _. . 4.1. .. _. ...........19.. _... BY..._ ..............._.................._... ... ........... <br />Superintendent. <br />