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r <br />7 y.y S <br />W. D. Farm t <br />CITY OF EVERETT-WATER DEPARTMENT <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />Everett,........ _...... ......«...:...1....................................19.� <br />TO THE SUPERINTENDENT OFF THE <br />EV WATER <br />TE R DEPARTMENT: <br />CITYlotions of theaWater Depfor artment, for Purpe of water in oses and fixtures with the stated below raga. <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 />water durin ing the ich they <br />ogress of have such Impen rovements to not anyeonsumer whoseuired to nish may thus be cut off, or be liable for any damages for its failure so to do. <br />Application No .... Z.(�. /.. �� ••'• ' •• <br />Block.. ...................................... Lot............G.i.__._..... ` Add .............�......................_.... <br />No..................�./�.'..�..:...L[.r.-..7_.. r.."=..-.....$.�.._(.C.........street <br />.............................................................................................................. <br />The work to be executed by ... ....... ..._............___.... <br />.. <br />........... ..................... .Plumber <br />Stale size of tap. <br />.._............ Tap to be inserted In the main. <br />Water closet <br />Bath <br />i <br />................Urinal <br />v <br />`:ai.r-' • G <br />� (��' 3 <br />......... Plain faucet Inside <br />S o, tt <br />1 d �' G <br />................Side walk washer <br />................Hose bib outside <br />Ff[/� <br />bib for building purposes <br />................Hose <br />Hose bib inside <br />.e%.' Mt <br />._. ........Bib for stable containing.__...............stall—.....t:1T,.>q. <br />....Number of persons in family <br />�%~.......Number of rooms In building <br />The premises are to be used as n <br />The owner of the premises is....... <br />- - - <br />The agent is... ........._ _.... ._.._ <br />__. <br />This application, ajlthliugh signed, shall not be bi>ding upon the City. until <br />accepSpniendent,,ofee ' <br />ent. <br />....c......m. <br />...........APPllcantSlgnu... <br />Accepted ... .._19....... By .................. <br />.- �'"' �""� � <br />.................p e............... n........... <br />Superintendent. <br />