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W. D. corm <br />i <br />CITY OF EVERETT-WATER DEPARTMENT <br />APPLICATION FOR WATER <br />All blanks must he filled in or crossed out <br />Everett............ .................... ...c%....?...__ <br />TO THE SUPERINTENDENT 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, for purposes and fixtures stated below. <br />�r During the time that any of the water mains may be taken up by reason <br />n 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 />,. 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 />/Z"/....J... . <br />Block........................................ IAI............./ _J.._......... Add ...... ....... .............. ... ............ <br />No......................... ..........F........................... ........... street <br />.................................................... ......... ... _.......................... ...... ....... .................................... <br />The work to be executed by... ............... ........... .._......... .............._.......... Plumber <br />}� State size of tap. <br />-- ...� Tap to be Inserted In the main. <br />7 .• <br />.........Water closet <br />K <br />Bath P A t <br />....'.......Urinal �f <br />- ......Plain lancet Inside Q�p"' Y C <br />walk washer / / O <br />t` .. Hose bib outside C1 {verett r. <br />to <br />.- .............Hose bib for building purposes WJATIUR IQEPT. A <br />................Hose bib Inside <br />................Bib for stable containing .................... stall .................... <br />................Number of persons In family <br />' ................Number of rooms In building <br />The premises are to be used as a ...... ............._ <br />f The owner of the premises Is...._._.....__ _. <br />Theagent is ........................_ ... _. ............................. <br />This application, althoug signed, shall not be binding upon the City, until <br />accepted by the SuperI nd nt of the ter parlmpnt. <br />Sib...........:...:............................I............................Applicant <br />/ Accepted............................................19.......................................................................... <br />Superinlendenl. <br />