3830 FEDERAL AVE 2016-01-01 MF Import

r i` � y � W. ➢. Form i-1600—S.Y.Co.-6•26-2{ ♦ T_--n� ��-� G —19—zs— f.�L.,, _ _. _ � City of Everett�Water Department AP�'LICATION FOR WATER All binnks must be filled in or crossed out TO THE I hereby apply for the use�'6i�water in accord;mce with the rules nnd regu- lations of the Vi'ater Depnrtment, for purposes ¢nd fistures stated below. During thc time that Fny of the water meins mny be taken up Ly reason of nny imProvements ssutharised�by the City of�Everett, in or of any street or niley in which lhey may have 6een lr.id, the City will nat be required to furnish WAYI•t during the pra�ress of such� improvements to any consumer whose aupply may thu= be cut off, por- cb1e liable for. any damnges for its failure so to do. Applicatiort No...p.�r...S� .................. , Block...................... ............... Lat.D............................_........ Aa No.......�� ..........�,�--�L..�.�..........8treet The work to be executed by ...................... . ........................Plumber . . �... _�.......... �� ,...� �,.� State size of tnp. � - • � - ..�.��.._Tnp to 6e inserted in the mnin. ',�, � .......�.......Water closet � ..._�:.....Bath . � ...._�-...Urinnl .. ..�,2..........Plain feacet inside ......._`..5ide a�alk washer ......%.-......Hose bib outside '""�. J/�� ...._�-.Hose bib for building purposes �/ _ ` Hose bib insid.. � stall..........:�� � ................ � . �— ..._�:'.-`.Bib for stable containing .................... '� �� ...........`.....Number of peraons in familY . ..,�........Numher o4 rooma in building The premises are ta be used as s.....__..��-� -��-�--��-��- -' '� �c:..._..� ........a........... . ............ �The owner of tY.e premises is......� �� Theagent ie .................................................................................................................. This npplicntion, elthough signed, shall not be Finding upon the City,\til �ed by the Superintendent of �e Nntcr Depnrtment.