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CITY OF EVERETT-WATER DEPARTMENT <br />APPLICATION FOR WATER <br />All blanks must be filled in or crussed mn <br />TO THE SUPERINTENDENT OF THE ATERETTDEPART�IEN t: <br />CITYI hereby apply for the use of water in accordance with the rules and regu- <br />lotions 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 re. <br />of any Improvements authorized by the City of Everett, In or of any stn.et 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 f `............._... <br />Block . ........... Add....!..... . <br />No ....... ..... ::.::'_.::..... ......t.C._::..........._...__..... ............. ..... .... _... $treat <br />_.......................................................................... I—- ._.,....................................................... <br />The work to be executed by...._ .... ...._......... ___ ....................................Plumber <br />Stale size of tap. <br />/.....Tap to be Inserted In the main. j <br />................Water closet <br />...............Bath <br />................Urinal <br />...... ... ......Plain faucet Inside j;!;(` 1 `ii•f,�at /` i <br />............Side walk washer <br />........Hose bib outside C r t1 / <br />' ._........ _...Hose bib for building purpolea <br />...__..__._Hose bib Inside <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 a.._. - - <br />+ The owner of the premises Is...... _....._.... _ _.. __...... _....... <br />' The agent is ..... ..... ............. ..... ............._.............._..._..............__..._......_._. ........ <br />This application, although signed, shall not be binding upon the City, until <br />accepted by the Superintendent of the <br />aW/,ter rDeparCtment. <br />Signed. .... .. r ............ Applicant <br />Accepted........_..__..........................19....... By... _.. _......_ .. _.. _. __.......... <br />t Superintendent. <br />