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CITY OF EVERETT-WATER DEPARTMENT <br />APPLICATION FOR WATER <br />All blanks must be filled in ,r cruxsrd ULt ��� <br />�/�/ y <br />Everett........._I!``....._t''� ...........to......... <br />................:..................... . <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 staled 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 daring the progress of such Improvements to any consumer whose sup- <br />ply may thus be cut oft, or be liable for any damages for its failure so to do. <br />Application No. <br />, <br />Block ........... ..... _. ... .. LoL....... .. .._.. ..... Add!.......... - <br />No................ . .:................. .l..'.V,............................................... Street <br />..........................................................................................................................--------------------------- <br />The work to be executed by ... .............. ..........___....................._.............. <br />Plumber <br />of top. <br />'Statelize <br />.....Tap to be inserted in the main. <br />r i <br />................Water closet <br />................Bath <br />, <br />l� f. <br />................Urinal <br />; .. . , <br />................Plain faucet inside <br />i <br />................Side walk washer <br />�. <br />................Bose bib outside <br />................Hose b!b for building put -poses <br />..... ...... ..... Hose bib inside `wtvi.H 11E' <br />..........._... Bib tar stable containing....................stall.......... <br />' �ly <br />......_..._.Number of persons in family <br />4 / <br />of rooms in building <br />The premises are to be used no n _. <br />_.._. ....• _.. .... <br />The owner of the premises Is,. <br />The agent is <br />This ipPlic.uion. nithouph signed, shall not <br />be binding upon the City, until <br />accepted by the Superintendent of the Water Department. <br />Q <br />Signed........ _........ :........ ......f. <br />C t ., r.. _.. Applicant <br />1 Accepted..... .... ... 19 ....... By.....__ ....... <br />Superintendent. <br />