3528 FEDERAL AVE 2018-01-02 MF Import

'?" n '�-t 8-n -I W. D. Farm 4-1600—E.P.CO.-6-26-21 '<AJ-4 --7-f g-P-g-ir-. City of Everett --Water Department APPLICATION FOR WATER All blanks must be filled in or crossed out Everett .................. ..wz.....1..� ... ............192..ES TO THE SUPERINTENDENT OFT ER DYN"ARTMENT: C?TY 0 ERETT: I hereby apply for the use of water in accordance with the rules and regu- lations of the Water Department, for Put poses 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 liabrle/for any damages for its failure so to do. Application No .... — cl� ................ Block................... Lot........................ ..................... Add...................................... ............. No.....1'1....J� ez�.............. .. .........Street ... ... _............................ ....... ......------- ._ ....................... The work to be executed by........... -"7...... Plumber State Ize of tap. �..� . ...Tap to be inserted in the main: ....... (........ '.eater closet ................ Urinal -....7z....._Plain faucet inside -•::=...... Side walk washer ••--)........... Hose bib outside , --:.... Hose bib for building purposes .... ............ Hose bib inside -+......... Bib for stable containing....................stall.................... ••.. 'umber of persons in family -. .........Number of rooms in building The premises are to be used as n................� ........................................ The owner of the premises is..�: - ... .... The agent is ............................... appucationp although signed, shall not be binding upon the C1ty, until by the Superintendent of the Wat,, Department. Signed.... Applicant ......10..... .. .. ..192.. By. �......