248 ELM ST 2016-01-01 MF Import - Laserfiche WebLink

��zc.�� W.D. Foem 4 CITY OF EVERETT-WATER DEPARTMENT APPLICATION FOR WATER All Ulanks must be filled in or crossed out Everetc..........................,�.,...L�.........................._.....ts�..� TO TI3E StiYliRIN'CENDENT OF THE WATER DEPARTn4ENT: CITY OF EVERETT: I hereby apply for the use of water in accordance with the rules m�d regu- lalions of thc Water Department, for purposes and fixhires stated Lclou•. During the lime that any ot thc waler mains may bc taken up Uy reason of any improvements authorized Uy thc City of Everelt, in or of any strcet or alley in �ahich they may have been laid, the City will not he required to turnish v:.�ter during the progress of such improvements to any consumer wliose sup- ply may thus be cut off, or bc liable for any damages for ils failure so to do. Application Na....l�� J � � , �� - ....................... .......... . � - �� -fi- �'� � . ' / - d Block.............. .. .. .. . Lot...... "i Y .,.... Add.........�.......5.........._._... ... ............. �.......`.... f • �i--- --- " - ,; No.......................: _ cf.....: ............ ....-..:.�..�- ......:_.........Slrcet .2 d ,: _ ��Ss,'<:..�..'.:..,..�..:�..:....................---- • _.. The work to be execuled by.................!........;.�.. �...................._....__...Plumber Statc sizc of tap. ....._.........Tap to bc inserted in thc main: - � � � -, ....._.........�Vatcr doset � ................IIath �..: _i:�.t-�:t: ................Urinal .�, i:ri'(. ................Plain faucet insidc ................Sidc walk washer �� '/ ................Hosc bib outside � ................Hosc Uib for building purposes �� - , � . , , J . : ................Hosc bib inside `7�� (, �-, , ,��«., !l_. ................Bib for stable coritaining...................stall......�.�Sc.� ........_.....Numbcr of persons in family /7 5/7 _ S ;�'��-S� ................NumUer of room� in building ~ Thc Premises are lo bc u�ed as a................................................................................ The owner of thc premises is........._...................................................................._....... ThcaSent is.................................._......................................._........................._....._...... This application, althou�h s' ned, shall not bo�G}nding upon thc City, until accepted by the Sugerintendenj of t e N�ter`D�arttnent. ; _ � ,� � ,: SiSned.... .... . `. _5.. .�� ........�. I{��c.t'...: .��' App]icant �...._ �.. � �� ................. nccep;ed....................................�...1�....... By..... .........�............................................... Superintendent.