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w. a. F.,m <br />CITY OF EVERETT-WATER DEPARTMENT <br />PLI <br />CATION FOR WATER <br />AP <br />All blanks must be filled in or crossed out <br />............. l 9 ........ <br />Everett ............... TMENT: <br />TO THE SUPERINTENDENT OF THE WATER DEPAR <br />CITY OF EVEAETT: <br />for th, use of water in accordance with the rules and regu- <br />I hereby apply purposes and f ixt r takentatup by reason <br />1 stet Department, for P P mains may In or of any street or <br />lotions of the yof .he water of Everett, <br />During the time thts alhoriz% b the City Ever not be re4ulred to furnish <br />SUP - <br />of any latprovemenmay have been'a1d, the en consumer whose sup. <br />I watein r during the progress of such improve damages ts to for its failure so to do. <br />ply may thus be cut off, orbeliable for any <br />Application No.../'/................ Add_...._ ............. ..................... <br />Lot........_ ... .......... <br />Block)- ......................._ � .........__.....Street <br />t, ^�,[ ................... <br />.. r"..../........ .. <br />..._......... ...... Plumber <br />The work to be executed by... •-""" <br />SL jlzc of top. <br />Tap to be Inserted in the main. (1! <br />i` Water closet / 1�,.. •� <br />................Both c.J <br />.............Urinal , :1 1 v. <br />................ <br />.. ,.....Plain faucet inside !, f�. <br />Cvf-ni/G,,`£ <br />................Side walk washer <br />........... ....Hose bib outside� O <br />.....Hose bib for building Purposes C <br />................Hose bib Inside stall.._..........._.. <br />...............Bib for stable containing.........-""'� � <br />Number of Persons In family <br />_........Number of rooms In building ( ....... , <br />The Premises ore to be used as ft. ...................__........................_.... <br />The owner of the Premises is...... ... . <br />......... . <br />slsnll not be binding upon the City, until <br />The agent 1s......._._.. - <br />lication, although signed, ant.- <br />This application, <br />Superintendent of the Water Depar Applicant <br />accepted by I „_ ........'APp <br />signed .1.iD.N/S.hi..u...lR.I.,a.x..R....... ....... <br />............................. <br />I Accepted ..... ......._. <br />................... ._... 19....... By......................... Superintendent. <br />