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-_ , - <br /> Air-W.a Po,m 4 <br /> CITY OF EVERETT-WATER DEPARTMENT <br /> APPLICATION FOR WATER <br /> All blanks mull be filled in or crossed out <br /> Everett,................ 4.02.v: ...........................IB... i <br /> TO THE SUPERINTENDENT OF THE4WATER DEPARTMENT: <br /> CITY OF EVERETT: <br /> I hereby a ly for the use of water in accordance with the rules and regu- <br /> lations of the Water Department, for purposes and fixtures staled below. <br /> During the time that any of the water mains may be taken up by reason <br /> of any Imrovemenls 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 Its failure so to do. <br /> Application Nu... ls <br /> ................ <br /> Block........................................Lot........ ......... <br /> >' <br /> No-........... <br /> . ............:.?..'.1..:..Cf..v�:................................ .........Street <br /> ........................... <br /> .......................................................................................................................... <br /> The work to be executed by... ....................__._.__...........__.._...._._......Plumber <br /> it <br /> Stale size of tap. <br /> ' ...�y....Tap to be inserted in the main. ,. <br /> ................WA1Cr C109C1 <br /> ................Bath <br /> ' ................Urinal <br /> ................Plain faucet Inside `- <br /> ' ................Side walk washer <br /> ................Hose bib outside <br /> ................Hose bib fnr building purposes <br /> ................Hose bib Inside <br /> ................Bib far stable containing....................stall............ <br /> ._._. <br /> ................Number of persons In family <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 application, although signed, slip'l not be binding upon the City, until <br /> accepted by the Superintendent of the Water Depart nt. <br /> Signed..✓.lk-1.1t ....kl.QY..^r.t... . . ...._............ <br /> Applicant <br /> Accepted........._.__ .........___.........19....... By..._............. . . ................................. <br /> Superintendent. <br />