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W. D. Form 4 1500 0-1-17 C. P. <br />CITY OF EVERE-11 Water Department <br />Application for Water <br />All blanks most Le fihel i 1 ,+r rased out <br />Everett. -- <br />TD THE SUI'ERINTENDCNT F THE WATER <br />D IARTMENT. <br />nce with the rules and rgula• <br />I hereby appir for the use of water in accords <br />During the time that nny of the water mains may 6e taken up by reason <br />ey of <br />Items of The Water Department, for purposes and fixtures stated below.f) <br />any In <br />improvements authorized by the City of Everett, in it d to <br />furnish thus cut <br />which they may hove been Intd, ill, City will not be required to furnish water 19 cut <br />offsir gr liable for any damage furove r it, fnts to ailuresoto do. er whose supply <br />Block------------- ..------ Lot ... ................... Add--.._-.._...... <br />No... •-- ..1.4. �, 0_-1-._�.-Street <br />.._.•.............. <br />"�-4�- plumber <br />The work to be executed by ---------------- <br />Stat size of tap. 1 —/ "_,� o <br />S <br />r Tap to be inserted in the main. <br />.--_"-- Water closet <br />'i ... ....Rath <br />.Urinal <br />- ------.-Plain faucet inside <br />.....Side walk washer <br />-. - -Hose bib outside <br />--"-_ .. -Hose bib for building puf fy' ec <br />--.Hose bib Imide <br />--"_-.-"-.Ilih for stable containing --- - --- -- <br />stall.......--- <br />_" ---.._.Number of persona in family <br />.---__•.._Number of rooms in building <br />The premiaea are to be used as n _...- <br />------ <br />..-.. <br />The Omer of the premises is --------------- <br />The Silent 13 --------- .... --------------- <br />------ <br />.----- <br />._. - until ec• <br />This application, although ned, l +II not be binding upon the City, anv <br />cepted by The Superintends o thy,�•,y�'[t k Department. <br />j--___.__Applicant <br />Signal -- --"--� <br />Accepted.... _. _----------191 <br />R <br />...-........"... Suparinlanernl <br />