3022 FEDERAL AVE 2018-01-02 MF Import

p—/r7N to r- 2, ;�. F_ ..r-r� s--2q—:r3 W. D. Fornn 4 1500 3-1-17 G. P. - - CITV OF EVERETTWater Department \ Application for Water All blanks must be filled in or crossed out c.verett,----'------------ /�_v---__-__.__-14b:3--- TO THE SUPI?RIN rENDENT OF THE WATER DEPARTMENT, CITY OF E`/ERETT: I hereby apply for the use of water in accordance with the rules and regula- tions of The Water Department, for purposes and fixtures stated below. During the time that :my of the water mains may be taken up by reason of any improvements aulhoriznd by the City of Everett, in or of any street or alley in which they many 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 its failure so to do, da� Application No.____ 1 Block .._7.__---- Lod-...... __Add__--------- --------- No.._..L_O.__7_.2.... %/ --v f �____.. Street --------------------- The work to be executed by ------------------------------------------ Plumber State /size of tap. x__Tap to be inserted in the main. --y_ Water closet �- bath � ___- __ .Urinal ---------- Plain faucet inside 6�� .________Side walk washer____..____hose bib outside________.Hose bib for building purpnsej ---------- Hose bib inside - ---------- Bib for stable containing.___-:___ stail---------- ----- Number of persons in family Number of rooms in building11 //,, y/ The premises are to be used as a _,d'ifGL_ /q'N'! L_________ ------ The owner of the premises is ____<-(i4c�G�-aca.. _ y 'c�yt.C.✓________ The agent is This application, although signed, shall not be binding upon the City, until ac- cepted by The Superintendent ooffftt'h^tie Water Departmmee Signed ----- Z `G_61 __!_. ___ _ _____Applicant Accepted._-:___19]-•�J 13y--- G.i_' __ ___________________ Superintendem