5020 CREST LN 2016-01-01 MF Import

� v , .�� W.D.Farm 4 CITY OF EVERETT-WATER DEPARTMENT APPLICATION FOR WATER All blanks must Ue filled in or crossed out I �7 / (/ Everett........................ _ :.�_5::...........(............................19�C.I.. TO THE SUPERINTENDENT OF TFIE WATER DEPARTMENT: CITY OF EVERETT: I hereby apply for tl:e use of water in accordance with the rules and regu- lations ot the Water Department, for purposes and fixtures stated below. Dur:ng the time that any of the watcr mains may be taken up Uy reason of any improvements authorized by the City of Everett, in or of any street or alley in which they may have becn laid, the City will not be required to furnish water during the progress of such improvements to any co�sumer whose sup- ply may thus bc cut off, or bc liablc for any damages for its tailure so to do. J � C � 7 Application No............. ..�1,...�.............. �.Y �-��•n, �atu..�%� Block........................................Lot.................�.�. . ................ Add.......................................... No..................... � /� .,.....1.L.........................Strcet '�..�..��........`.!�..�EQ.L.......?�n'J ...................................................................................................................................................... Thc work to Ue executed bY..................................._...............__.__...._...Plumber Statf sizc of tap. _.i�....Tap to be inserled in thr. main. .. . _ Water closet � ...�..�.��..�:.satn ................Ur:nal � ' Qt�l7 ................Ylrin faucet inside DCp q �L`.S. !> 1 �1G �L.� ................Sidc walk washer �'b ( U`I fCtc� y�,�� ...............Hose bib outsidc City of Everet� ................Hose bib for building purposes SMATER pE_ �`' 34 Yy � � b;' ................Hosc bib insidc ................IIib for stablc containing....................stall.................... .... .........Numbcr oC persons in family ...�..__...Numbcr of rooms in building p �................:?_._......................... . ..........._. Thca�enlsis..are l�o be.used as a..;�,.!........�.'.�............_.... ..�....._. ............. Thc owucr of thc remtses �s....�. . . . ................................................._............_............ 1'his application, althou�,h signed, shal] not Ue binding upon the City, until accepted by the Superintendmt of the \Pater De��•--kkp� ent. Signed..��!�G[LA...✓....�..�_.a��.�.-;:.....Applicant A�cepted...._.....................................1�....... By............. . .................................................... Superintendent.