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• <br />W. D. Fcm <br />CITY OF EVERETT-WATER DEPARTMENT <br />APPLICATION FOR WATER <br />All blanks must be filled inor crossed out <br />a!'y�'f...r.D�..........................181�.... <br />Everett......... ................. <br />TO THE SUPERINTENDENT OF THE OF EE WATER DEPARTMENT: <br />CITYI <br />hereby apply for the use of water In accordance wHh the rules end raga- <br />the atr Department, for purposes and fixture$ staled below. <br />W be taken up by reason <br />tattoos of <br />During the time that an yy of the water mains may <br />Impravementa eulhorl, I by the City of Everett, in or of any street or <br />be required to tarnish <br />of any <br />alley in which they may have been laid, the City will not <br />during the progress of such improvements to any consumer whose sup- <br />damages for its failure so to do. <br />- - <br />water <br />ply may thus be cut off, or be liable for any <br />l; <br />/ <br />No..,l,� <br />Application ......... ..................... <br />Block ....................... . Street <br />................................... ........ ...................... _.._.. <br />y? <br />.< <br />......................................... <br />.. _.......... Number <br />The work to be executed by. - __..._..... ... _.........__ _. <br />Slate size of tap. <br />• "� <br />.....Top to be Inserted in the main. <br />:. <br />............Water closet <br />f. <br />................Both <br />;- <br />................Urinal <br />faucet Inside , <br />................Plain <br />-Side walk washer <br />.............Hose bib outside <br />. _...... ...... Hose bib for building purposes <br />' <br />...... ...Hose bib Inside <br />....stall_ <br />for stable contelning..._....._.... <br />t <br />................Bib <br />....Number of persons In family <br />of rooms in building <br />.............Number <br />The premises are to be used as a <br />The owner of the premises is...... <br />The agent is. ......... __ _..... <br />ll not be nding <br />by dent of heFWater Depar�tment.��POn the City, until <br />This <br />the Superintendent <br />accepted <br />..... ......._. Applicant <br />Signed ..... <br />Accepted........__ .....................- .. Superintendent. <br />