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W. D. farm a <br />CITY OF EVERETT-WATER DEPARTMENT <br />APPLICATION FOR WATER <br />All blanks roust be filed in or crossed out <br />Everett ............. __u.......... 7sl+�...o_�.......... ...... ...... 1 g `..? <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 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 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 lts failure so to do. <br />Application .................. <br />Block ........................................ Lot .... ...... %........................ Add..Jl1rGRG.r.F.�..1.�........ <br />No....M........./W................................................Street <br />__................... I .... I ...................... ... _............................................................................... <br />The work to be executed I ................._. ......................... Plumber <br />SI�aat/L size of lap. <br />..T.f!...Tap to be Inserted iu w,• main. <br />............Water closet A <br />40 <br />?-..`�........Bath e ✓o Iy <br />................Urinal �F '7 J <br />r ..............Plain faucet Inside <br />..............Side walk washer ,� C,fyk v <br />A N <br />................Hose bib outside A•cpv''�� U u ' <br />................Hose bib for building purposes b Fp„ <br />" ................Hose bib inside 'S <br />................Bib for stable containing ................ ... stall.................... <br />... _�r.�...y.�.....Number of persons In family <br />,...7.... Number of rooms In building <br />The premises are to be used as n..... ........... ... ..._. _.. .... <br />The owner of the premises is.. <br />Theagent Is ........................ _ _ --- __.__....._...._....._..__._. <br />This application, although fined, shall nqtJkc binding upon the City, until <br />accepted by the Superintendyfil of the WW <br />.C�.Drment. <br />Signed,. !:, ./"�,/Applicant <br />Accepted.......... _... .. .. __.19....... By... ... ..__............. ........ ............................ <br />Superintendent. <br />