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I <br />W. 0. F.,. 4 <br />CITY OF EVERETT-WATER DEPARTMENT <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed ou' <br />Everett,.... : .......... ....... ........ ..... 190. .j <br />TO THE SUPERINTENDENT OF THE WAEVERETTER DEPARTMENT: <br />CITY OF T: <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 />During the time that any of the water mains may be taken up by reason <br />of any improvements authorized b� the City of Everett, In or of any street or <br />alley In which they may have been aid, 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... .. ............ j ........... <br />Block........................................ Lot............. ......... ........... Add. <br />.._f-t. ,.._f.,No ........ -7 ... ..............................................Street <br />................................................................................................................ . ..................... ........ <br />The work to be executed by . ........... ......... ...... . .................................... Plumber <br />State size of top. <br />;,/,V.tap to be Inserted in the main <br />................Water closet <br />................Bath <br />Urinal <br />Plain faucet Inside <br />Side walk washer <br />flose bib outside <br />Hose bib for building purposes <br />Base bib Inside <br />... Bib for stable containing..........---....stall <br />Numbs- of persons In family <br />Number of rooms In building <br />The premises are to be used an s___ <br />The owner of the premises Is ...... .... ....... ...... .. . ... .... ....... ............ <br />Theagent Is ...... ..... .................. . . . ....... .. .... ..... ........ **",**,*"*, - 4- .... .. * ... * - <br />This application, although signed, shall not be binding t upon the City, until <br />accepted by the Superintendent of the Water Department. <br />Signed.......................... ..... .. - - ... - - - .................. . Applicant <br />Accepted ..... 19 ....... By..............................S .............u p e r I r. .. e . n . den . I .......... <br />