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W.D. T.m a <br />CITY OF EVERETT-WATER DEPARTMENT <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />Everett ......................... ..... .1. '..�... .._19....y <br />TO THE SUPERINTENDENT OF THE <br />EVERE R DEPARTMENT: <br />CITY OFI hereby apply for the use of water in accordance with the rules and regu- <br />latkms of the Water Department, for purposes and fixtures stated below. <br />During the time that anyy of the water mnina may be taken up by reason <br />of ally Improvements authorized by the City of Everett, in or of any street or <br />alley in which they may have been told, the City will not be required to furnish <br />wale- during the progress of such Improvements to any, consumer whose sup- <br />ply may thus be cut off, or be liable for a4�dame ea r allure ju tyRL <br />/ ✓ ,! �t,7ZG � 4t <br />Application No ..... • <br />Block ..... ........... y..( ........... Lao - <br />No... ._............. a.:.....y]ff...%..........7... <br />.... ?.`rdStre(ert <br />................ . <br />The work to be executed by ............................ <br />............ _... _.......Plumber <br />....... <br />State size of lap. <br />to be Inserted in the main <br />................Tap <br />Water closet <br />f <br />,/....... Bath <br />................Urinal <br />................Plain faucet inside <br />• ...............Side walk washer <br />J <br />bib outside <br />................Hose <br />................Hose bib for building purposes <br />................Hose bib inside <br />;YYn t :. i, I I i i1 <br />................Bib for stable containing ..... .......... <br />..... stall ............ ._.... <br />................Number of persons in family <br />i <br />..,. ).......Number of rooms In building <br />The premises are to be used as a.__._ <br />The owner of the premises is. ......._ <br />-- - - <br />The agent Is ..... ........ _..._. _.._.._._.._.. _ _. <br />although signed, sht.11 not be binding upon the City, until <br />This application, <br />accepted by the Superintendent of the Water <br />Department. <br />Signed--....... Gi.�u?fh,�.✓.. ?,.._`:.ay.e-?? <br />I ..Applicant <br />_..19....... By.. ...._ _.. .._._... <br />A!•rrptru � ----� Suprrintrudrnl. <br />