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W. a I vo,m • i <br />CITY OF EVERETT-WATER DEPARTMENT <br />APPLICATION FOR WATER <br />All blanks must be fi,!ed in or crossed out <br />Everett...... ....:..:',:-.r....: 19. <br />TO THE SUPERINTENDENT OF THE WATDEPA TMENT: <br />CITY OF EVEREEEEEEIITTTTTff'''fff <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 token up by reason <br />of any f nprovements authorized by the City of Everest, in ne of ally 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 be liable for any damages for Its failure so to do. <br />�I�rt �0 <br />Application No.... -.1... ... ....... .. <br />Block ...... Lot �- ._ Add. _. J•, <br />No.... Street <br />ii <br />... , . <br />The work to he executed by. __... Plumber <br />State size of tap. <br />., '�! ..Tap to be inserted in the main <br />Water closet <br />........ Bath <br />._...._..._..Urinal <br />.. .__..Plain faucet inside <br />... ......Side walk washer 1 <br />.-..__.Hose bib outside <br />-Hose bib for building 1 . g purposes G <br />.. _.__..Ilose bib Inside <br />_...Bib for stable containing... __. ......_stall � <br />...Number of persons In family <br />..--L.......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 C,ty, until <br />accepted by the Spperinnmvdont of the W':wr pnrtme <br />Signed A ��� / �.-t� Applicant <br />Accepted... Y / 19... y <br />Supraintendent. _. <br />