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W. D. rnm-140o—&P.co._g.26-2� <br />City of Everett —Water Department <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />TO THE SUPERINTENDENT OF THE WATER DEPARTMENT: <br />CITY OF EVERETT: <br />I hereby cpply for the use of water in accordance with the rules and regu- <br />lations of the Water Department, for purposes and fixtures statrd below. <br />During the time that any of the water mains mny be taken up by reason <br />of any im rovemeota authorized by the City of Everett, in or of nny street or <br />alley in which they may have been laid, the City will not be requires' to furnish <br />water during the progress of such improvements to any consumer whose supply <br />mny thus be cut off, e9�h be liable for any damages for its failure so to do. <br />Application No._..i......... ..� "'" �% <br />Black.............. 1.J. � ..._.... Add..�..sa,!wth%`:�'--. �."L <br />................. Lo�tj................. ... <br />No..............4 . �...0.:_'.�'............1`^--... <br />............ ......... .............................. ................. .... .... .. .. . <br />The work to be executed by ....... _. .._..... ........ Plumber <br />Staite size of tap. <br />.L y..t...Tap to be inserted in the main. <br />....... I ........ Water closet <br />..... !.........Bath <br />.... ........... Urinal <br />.....Plain faucet inside 10 �i O o/ <br />................Side walk washer w <br />Hose bib outside p ' <br />...............Hose bib for building purposes <br />................Hose bib inside <br />................Bib for stable containing .................... stall ... ...... ......... <br />......},.........Number of persons in family <br />................Number of rooms in building <br />The premises are to be used as a..........._.i1.y.S.y9�-5 ,«-�.,. e4...... ,... <br />The owner of the premises is........ ..........'...1...... <br />. ............. <br />Theagent is ........ _...... __........................................... ...... ......................... :_.. <br />................. <br />This application, although signed, shall not he binding upon the City, until <br />accepted by the Superintendent of <br />the Water Department. <br />Signed ........... ....... ^.'. ..�.......... iplic nt <br />Aeeeptea............. ..G�.-.2.3yp Bv..._ <br />/ S per. <br />