5801 CADY RD 2016-01-01 MF Import

W.D. Porm 1 CITY OF EVERETT-WATER DEPARTMENT APPLICATION FOR WATER All blanks musl be tilled in or croxsed out - Evcrett�....__ ' .. .... ._ ' _ ` . ... _..ID. _.. ...._..... ... _. TO 1'HF. SUi'F:RINTF.NDENT OF T}IE WATER DEPARTMENT: � CITY OF EVEREI`f: I hereUy npply for the use u( water in accordance with the rules and regu- Intions o( thc Wnter Department, for pw�poses nnd tixtures stated Uelow. During lhe tiinc that nny nf thc wnti,r mains may br taken �p by rcason of any imp ruvemcnts nulhnrized by the City ot Everetl, in or of t�ny street or nllcy in which they mny hnvc bmn Inid, the City wilt not be requinrd to furnish water during the Hmgress of such improvements to :.ny consume� whose sup- ply may thus bc cul o(t, ar be I�I,7,1�,le tar any damnges for its fnilure so to do. Appl icn tion Na.�..�_�.�../......_....... ❑lock __... . ...... Lot _ _. Add.. � . � � �� "/ . �.....�._ Strerl .. . . . No. ._._w. ....... ._�...._.... � /. _._ f_...:. . ..___.................._..................._...................._(.:......................................__._._. _..__...._._.__ . The work lo be execuled by.. ..._._............._... . . ._._.. ._........._.. . Plwnher :ilnte izc ot tnp. ,.?�..��. ...Tnp to be inscrted In the main. �^ � J � J i .. _....._....1Yafer Clnset �( ' � ,.( y � y�. �......._.....Bolh 1�". .__. _.._...Urinal � � ................Plnin toucet insidc ..............Side walk wnshcr ................Hase bib outsidc � ._..._.___.liosc 6ib tor building Purposes ..._........._Ilnsc bib inside ......__..._.[3ib for stable conlnining.. ... ... . ....siall . .. __. . .Numbcr of peranns in fnmily ...�.Numbcr of roams in buiidin� Thi• premises nre lo bc used as n_. ,..� . . ... Thc awnrr ot ihc premisrs is. . . .. .' . .. ..:I " '/r'..._._ . Thc ngenl ic...__._.._ _.__ .. . . __ . � .. . ..._..____. . . .. This nppliealion,nithnugh signrd, �hnll nol be binding upon the City, until ncrepicd by the Superinl�ndent nf the �i'nter Departmenl. n \ / Si�,nrd .. . W., _�VL�,. �(.v..:rh.r-.—�_.. _ .._.__Appticnnl A��vrpio�i 19. 13y /. _. ...._._ . . Superinlrndcnl.