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W. a. F.,, 4 <br />CITY OF EVERETT-WATER DEPARTMENT <br />APPLICATION FOR WATER <br />All blanks .aust be filled in or crossed out <br />' Evicett...!-:5........... ................. ......... 18..�i..,�! <br />TO THE SUPERINTENDENT OF THER 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 aler Department, for purposes and fixtures stated 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 />.' 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 No..l >�... <br />,- :. ... Block ........................................ Lot .................... 5 C,........ Add ........................................... <br />IT, . _ No....... � .; : ;,1..... <br />............................. <br />.................. _.............. . .................................................................................................................. <br />The work to be executed by.......................................................................Plumber <br />StZee Ize of tap. ` <br />..'.. '.'.....Tap to be inserted in the main. <br />................Water closet <br />................Bath A�_ a <br />................Urinal , <br />................Plain faucet Insides <br />...............Side walk washer . , E y L J <br />............... Ho <br />se bib outside 0 <br />................Hose bib for building purposes b <br />................Hose bib Inside l� <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 n... ...................._.................................... _..__...... <br />The owner of the premises is_... ....... ...... ..... I ............ <br />_........ _._.._.... ..__ ..._. <br />The agent Is ............................... ........ ._... <br />This application, although signed, shall not be binding upon the City, until <br />accepted by the Supgrfnt¢ndent of the Watt r epartment. <br />Signed. ...... :... <.-i.... _..... C..,...._. Applicant <br />Accepted.............. ._.......... ............... 10....... By... ... ... ...... ..__. .. ._.___.......... .__... <br />Superintendent. <br />