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W. D. Farm <br />CITY OF EVERETT-WATER DEPARTMENT <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />Everett ... ...... ................ <br />,)[..! c.>... ........................19%:.Y <br />TO THE SUPERINTENDENT OF Tlil, WATER DEPARTMENT: <br />CITY OF EVERE77: <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 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 during the progress of such Improvements to any consumer whose sup• <br />ply may thus be cut off, or beliablefor any damages for its failure so to do. <br />Application No./!r(f ..J..'L-...... <br />Block ....................................... Lot ........3....................... <br />Addid..:G.�s..:(a..%'...... <br />"d — ,�/ .Street <br />.........................................................................................................................__.....__............... <br />The work to be executed by.. ...................... -- -- - - - -- -Plumber <br />State size of lap. <br />...2.:%. :ap to be Inserted in the main. ................Water closet P i1 <br />................Bath s <br />.............Urinal �s�� <br />NOV 17'64)1`" '' ' <br />...............Plain faucet inside <br />, <br />.__......... Side walk washer City Of Evttctt~��f ^ �� <br />j d . <br />^ ...............Hose bib outside WATER DEpj', B <br />............Hose bib for building purposes <br />..............Hose bib Inside <br />..... Bib for stable containing_..................stall..............._.. <br />._.Number of persona 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 />Theagent Is ............ .............._. _._. _...... <br />This application, although signed, shall not be binding upon the City, until <br />accepted by the I Superinl!%&sst of the Water Department. <br />Signed._..:37,T.cnl;;.. `R-,'....L .....Applicant <br />Ae_epted..... ....._.............................19....... By .................. .......... -..... ......................... <br />Superintendent. <br />