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W. 0. Farm 4 <br />CITY OF EVERETT-WATER DEPARTMENT <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />Everett,....._ .4' ___ e. <br />TO THE SUPERINTENDENT OF I'llE W RE R DEPARTMENT; <br />CITYI 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 bq the City of Everett, in or of any sleet or <br />alley in which they may have been laid, the City will not be i squired to furnish <br />ply may thus be cut progress <br />or be liable for any danages for Itsfailureso to do. <br />Application No%. r�.'.. �.. .- ........... <br />........... <br />Block... .................................... LoL.......... ._.C-...._ <br />.. .... Add....................... ...... <br />�o-jam' 7 `` <br />No.........r..:. .....J..� �.............. ............. .. ...............Street <br />.................................. ................................. ........... <br />.........._ <br />The work to be executed b .__...__........ _............Plumber <br />State size of lap. <br />e <br />.... Tap to be Inserted in the mein. <br />L <br />....Water closet <br />7i ..y..Bath ,t 6" <br />................Urinal <br />................Plain faucet Inside <br />................Side walk washer <br />................Hose bib outside <br />................ Hose bib for building purposes <br />Hose bib inside 9 4 <br />... x. <br />......_........Dib for stable containing ... ............ at / . <br />....__.._. Number of persons In family -...',. a 7 d' <br />^e <br />.........Number of rooms in building <br />The premises are to be used as a............_...........__.............................._........_._... <br />The owner of the premises is ................__............___........_........... ..... ..............._. <br />The agent is.... ............. <br />......_._........._..............................__._.,....._.........._......... <br />This appllcalion, although signed, shall not be binding upon the City, until <br />accepted by the Supe tendont o[ the atet; ap�artm+ent.A <br />Signc.!.^`..........Applicant <br />Accepted....._...._ ..... ... ............... 19....... Dy... .... ........... ........_..S.....pert...._.............. ..... <br />uperintendent. <br />