8919 EASTVIEW AVE 2016-01-01 MF Import

, � �„, , � � �� \V.D. Form 4 CITY OF EVERETT-WATER DEPARTMENT ' APP�,ICATION FOR WATER All blanks must be filled in or crossed out Evcr�tt�................ ..___..._�.c...�._�'...................1�J�'.' TO TFiE SUPERINTENDENT OF THE \VATER DEPARTMENT: CITY OF EVERETT: I hereby apply for the use ot water in accordance with the rules and mgu- ]ations of the Water Department, far purposes and [ixtures stated below. During lhe limc lhat any o[ the watcr m.ins may be taken up Uy rcason of any improvements .ulhoriud by the City of Evcrett, in or of any street or allcy in which they may have been laid, lhe City will not Ue required to furnish �sater during lhe progress of sucl� improvements to any consumer whose sup- ply may lhus be cut o[f, or be IiaUlc for any damages for its failure so to do. c � Application Na........�..��........./... f Block........................................Lot.......:.....�f.��.............../Add........................................... . No.._.......................�^. ��l �c2:z::�G:i.4.Ci4-....L�.�...�...........Strcet J _�....�C........... //� � y 1 .c..�!�.�'...: :i:T.S:C..}.k�............................... ............................................................................. The work to be executed by............................................................._........Plumbcr State size of tap. � � �,_'.�.:_....Tap lo Uc inserted in thc main. � . :� �..............Natcr tloset .� ��N,,` ,� J �y , . � ..saen '�` , �. 1�2. ....._.........Urinal ��``�}(G, £ oJ �.,--� �:� ................Plain taucet insidc A�R �2'r..,, _ _ ' J � � c. ................Side walk washer � � �. ................Hosc bib outside � ................Hose bib for building purposes ................Hosc bib insidc .._............Bib [or stable containing...................stall.................... ._.............Numbcr of persons in family "".l�'% �L ;J %h--' - _._._.......Nwnbcr of rooms in building `l f""f` �� `�- �c��J I�� `.`^`�� The owncr of the pr eni ese s�s.�............._........�/...........y./C,/.�./...�....CfJ.� . Theagent �s...........................................................................4......:.�..:.............._._......... This application, although signed, shall not be 6inding upon the City, until accepled Uy the Superintendent of [hc W tter`D�partment. / , (J , SiSned......:/..._.....��.��`.�.....�...1..`.^:<`.�.. ..........................Applicant .`_ � A�mpted........ ___...._...._.......\I�....... By......._......-..... ..............._.................. ��. �.', Superintendent.