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w e r.,.., a <br />CITY OF EVERETT—WATER DF, ARTMENT <br />APPLIICATION FOR WATER <br />All blanks must be tilled in or crossed out <br />Everett,...._. .. .. .......... //....... <br />r2.... ...... ...... .... f. <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 stated below. <br />During the time that ary 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 he required to furnish <br />water during lie progress of such Improvements to any consumer whose sup- <br />ply may thus be cut off, or he liable for any damages for Its failure so to do. <br />Application No.IX J ('!t / 7, <br />Block... ............................ Lot Cg/_...;......... <br />.a..lw <br />/ t <br />........................ ...>.Cl..............................................................(G.:Ks.�..c.�2t'?... <br />The work to be executed by .. .. ........ ......___.............................. .............. Plumber <br />Stole size of tap. D <br />...............Tap to be inserted in the main. A ,••r <br />...............Water closet <br />................Bout NO� q'647fee k.d/ <br />.............. Urinal City 41/Everett > K -j y <br />..........Plain faucet Inside WATER DEPT. A <br />................Side walk washer <br />................Hose bib outside <br />................Hose bib for building purposes <br />................Hose bib inside _ <br />................Bib for stable containing ........... Q Jc.•Oz, <br />......Number of persons In family <br />................Number of rooms In building <br />Aio 7 // <br />The premises are to be used as a ......... <br />The owner of the premises is <br />Theagent is ................ .... _ _. __.._. ...... _........... ......... <br />This application, although signed, shall not be binding upon the City, until <br />accepted by the Superintendent of the Water Department. <br />Signed... ......................... ...._................................................... Applicant <br />Accepted......................................19....... By.................................................................... <br />Superintendent. <br />