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I <br />1 <br />CITY OF EVERETT-WATER DEPARTMENT <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />I: <br />TO THE SUPERINTENDENT OF THE WATER DEPARTMENT; <br />CITY OF EVERETT: <br />I hereby appply for the use of water In accordance with the rules and regu. <br />lations of the lA star 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 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 />Plyler Mayuthus the <br />ecut off, ress r be liable for any damages f roils failure so to do. <br />Application No....C; <br />.......... <br />Block ....................................... toot ..... .% ................ Add...J ?' t ,-r-a•—�..... <br />No............��./ ...:...`�...........1'......_.. <br />...._................................................................................................._.._........................... <br />The work to be executed by... .......................... .... ... ......................Plumber <br />Slate size of tap. <br />".......Tap to be Inserted In the main. <br />+ • . . ...........Water closet <br />...........Bath A 1 D <br />• .. ••. . .........Urinal <br />.•........... Plain faucet Inside NOV 3 6 4,,y . <br />��II // <br />................Side walk washer 9 <br />-......... _..Hose bib outside ATE off EverejQ° <br />""_....... ...Hose bib for building purposes CATER DES. <br />-....... ...Hose bib Inside <br />_ ..............Bib for 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 />,.._ S J.. ... <br />• , -The owner of the premises is <br />The agent Is .................. fl' i <br />........... <br />Thii application, allhauggh signed, shall not be binding upon the City, until <br />accepted by the Supepr tenafnt of tFltl Waleq'D�parlment. <br />Signed...ii........Sr�'.......................................(() T "a et l <br />..........................................Applicant <br />Accepted....... .......__......................... 19....... By................................................ <br />................... <br />Superintendent. <br />