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W. D. torn 1 / ' , , i 7 <br />CITY OF EVERETT-WATER DEPARTMENT <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />Everett,......_ .... V <br />TO THE SUPERINTENDENT OF TIIE WATER DEPARTMENT: IB l <br />CITY OF EVERETT: <br />I hereby apply for the use of water in accordance with the rules and lations of <br />During time that any cot the for water mninsand <br />may be taken up by reason <br />at any Improvements authorized bq 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 otf, or bo liable for on- damages for Its failure so to do. <br />Application Nu ..... {„p„__...... <br />Block...........................Lot ..... } <br />.. . <br />......... . <br />................... ........................................................................................... <br />The work to be executed by...................... <br />State size of tap, ............... <br />...... <br />._.............. <br />... _Plumber <br />'• Tap to be inserted In the main. <br />••..•. .....Water closet <br />................Bath P A r <br />................Urinal AP'A`'—�r'--s <br />........Plain faucet Inside /w �' gel• ..••. . ......Side walk washer City pFtv <br />............. Hose bib outside WATER DEP7; <br />......... ...... Hose bib for buildingA�vt >c <br />Purposes <br />................Hose bib Inside 3 r� l <br />.... .... ....... Bib for stable containing <br />....................stall.................... <br />. ..... ..- ---- Number of persons In family <br />..........Number of rooms In building <br />The premises are to be used as e..................�'/tc_ e. �7 <br />The owner of the premises Is...... ✓ �� ,�.fs..t[:.f.Cs!=-r.G'f <br />The agent is......... j• ......•. <br />.ct.,:-o47.-e .....4iC'.. ........ <br />This application, although signed, shall not be binding upon the City, until <br />accepted by the So orinlgnd/en�lJof the Water Department. <br />S1gs7ed.......,dtr/....�-].,.................................. 17 c <br />... ..... Applicant <br />Accepted............ . .... ............ ..._....1g....... B <br />Supet:inicndenl. .. <br />