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W. a. Ferm <br />C17Y OF EVERETT-WATER DEPARTMENT <br />APPLICATION .FOR WATER <br />All bienks must he filled in or crossed out <br />Everett,...__ _ i% 3 .......lit: , <br />TO THE SUPERIN17ENDENT OF THE WATER DEPARTMENT: <br />CITY OF EVERETT: <br />I hereby apply for the use of water in accordance with the rules and regu- <br />lations of the Water Department, far purposes and fixtures stated below. <br />During the time that any of lap rater mains may be taken up by reason <br />of any Improvements authorized by the City of Everett, In or of any sheet 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 Ilab'c for any damages for Its fai'.ure so to do. <br />Application No./.... y ............. <br />Block .......... ... ....__._............... Lot..._._.— __ _.__ _.... Add <br />..... Street <br />The work to be executed by.. ..... ..... ....... <br />. <br />Slate size of tap. <br />JGj ....Tap to be inserted in the main. <br />................Water closet <br />.....o .....Bath <br />.............. _Urinal <br />................Plain faucet inside <br />.............. ..................... ......... I .......... I..... <br />...... _............_.__.._ Plumber <br />................Side walk washer I -Vt. ✓ ,,; ' <br />J' t� <br />................Hose bib outside................ Hose bib for building purposes <br />..... ....... .... Ifose bib Inside <br />................Bib for stable containing .................... stall.............. <br />.... Number of persons In family <br />._.-5......Number of rooms in building <br />The premises are to be used as a. ....... ...... ....... . _.......... _. _...._......... .... <br />The owner of the premises is ..... _..__....._._......_ __.._...... ___._....._ ...... <br />Theagent Is ... ._................................._.__..__.................__.... <br />This application, although signed, shall not be bindingg upon the City, until <br />accepted by the Superinlpnde�nL/-Qf the Water Department. <br />Signed......... ...,1 �i...r'�'.Y:. .... ems!?/ Applicant <br />4.. .... �............. <br />Accepted_..... _.........................19....... 1 .............. '........ ................... <br />rinlendenl. <br />