210 73RD ST SW 2018-01-02 MF Import

i W. D. imm 4 CITY OF EVERETT-WATER DEPARTMENT APPLICATION FOR WATER All blanks must be tilled in or crossed out i Everett,........_........_...... ......... .....1f1✓sr. TO THE SUPERINTENDENT OF THE WATER A E R DEPARTMENT: lali ns of theaWatter Deparfor the tment, for of er purposes end fixtulres stated belowregu- During the time that any of the water mains may be taken up by reason of any Improvements authorized by the City of Everett, In or of any street or alley in which they may have been laid, the City will not be required to furnish water during the progress of such improvements to any consumer whose supp- ply may thus be cut off, or be liable for any damages for its failure so to a - Application No/�................. Block. l.nt Add. __ ....... Street The work to be executed by ................. ............. ._._................ Plumber Sla},e size of lap. .,...Tap to be inserted In the main. Water closet t ................urinal ...............Plain faucet Inside ................Side walk washer .!• ................Hose bib outside �✓ ................Hose bib for building purposes ................Hose bib Inside Q' .............. for stable containing ..... ...... ...stall .......... ................Number of persons In family ..t 7........Number of rooms in building The premises are to be used as a The owner of the premises Is... - - - The agent is _ This aPpiication, nithough signed, shall not be binding upon the• City. until accepted by the Superinte t of the R inr Depar�jlfl�en, Signed .tL.... 1 .1:..t -�.> j,; /�•n.. Applicant Accepted.......... .__...., __.... ....ID. By Superintendent.