2731 FEDERAL AVE 2018-01-02 MF Import

W. D. Form 4-1600—E.r.Co.-5-26.24 City of Everett�Water Department APPLICATION FOR WATER All blanks must be filled in or crossed o,,' Everett...................-;v P `- '.../ 11 ...192�y.-d TO THE SUPERINTENDENT O THE EE WATER DEPARTMENT: CITI hereby apply for the use of water in accordance with the rules and regE- lations of the Water Department, for purposes and fixtures stated below. 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 supply may thus be cut off, or be liable for any damages for its failure so to do. Application No....... —I.. Q_S"J•'--'•---��--• Block ........_.�.�..... _......... Lot .......�s.-...�........... Add .......... No........z...�.J�....i........ .. .................Street /......... ..._.................... The work to be executed by.... tap. .................. ............Plan ..... . L..�...... er, - 193a State size of j 1 Olt, c-'-'-'°`-�� 1D-vti J3-ALTap to bz inserted in the main. d ................ Water closet 3 .....Bath .....Urinal( --�r-' C°�-.t-.cr- ~� ,,,,,,••,•••....Plain faucet inside -•........ Side walk washer ,,,_,•.... I .... Hose bib outside ................ Hose bib for building purposes _,,,....Hose bib inside _....... Bib for stable contnining ....................stall.................... ,,,............ Number of persons in family .........— - The premises are to be used as a.... -. -r The owner of the premises is.. .........'................................ ... .......... Theagent is .............................. .. rt�lif/LR,....... ...... .......:........ This application, althoug si ad, shall not be binding upon the City, until a ted by the Superintej(` ^ the WateF Department. .._�/ V ...........