502 SE EVERETT MALL WAY 2016-01-01 MF Import

W. D. Fo�m 4 �D eZ �7 �/ �� CITY OF EVERETT-WATER DEPAi2TMENT APPLICAT�ON FOR �1ATER All blanks must be filled in or crossed out Everett ................. .......... ',�.-:......,}.`........................19 _b.� TO THE SUPliRINTENDENT OF THE WATER DEPARTMENT: CITY OF EVEHETT: I hereby apply for the use of water in accordance v�ith the rules and regu- lations of thc �Vater Department, for purposes nnd fixtures stated below. Durin� the time that any of th: water mair.s may be taken up by reason of any imircvements authorized by the City of Everett, in or of any streel or alley in which they may have bcen laid, the City will not be required to furnish water during the Progress of such improvements !'� 'ny consumer whose sup- ply may thus be cut off, or be liable for any damag�s for its failure so to do. Application No.....1...`� �G� ... ..... ............... �� The work to be executed by,.._ ..........................:........................................riu�u�r. Slate size of tap. � ................Tap to be inserted in the main. ...........Watcr cioset � � - ... . : r �� ? ^D' �`� .../........Bath � �ii �: i_ : .s ................Urinal �� Je-e .....Plain faucct incide ��I�� - f:�� C ......_... � I. �'j'� �f 1/ ................Side �valk washer � ��- C-.� «" ��i-. ri ................Hose bib outside � � ................Hose bib for building purposes �� ' ' `� � � ................Hose bib inside ................Bib for stable containing....................stnll.................... Num6er of nersons in family � Numbcr of rooms in building . . ......_ . The Premises are to be used as a ................................................................................ Theowner of the pmmises is ..................................................._................................._ . TSeagent is ..................................................................................................................... This application, althnugh signed, shall not be binding upon the City, until � ....cepted by the S perintendent of the Water Department. �� � /� �(�L'1--- �- G�!i�� ...�...._Applicant � ed.. ................................. ..................� _ ........ Accepted............................................i9....... BY.................................................................... � ,� Superintendent. , �{� iYp'-.: +��C\. My � s*� :� . ... . _._-�-- . ^ ✓� f �. ��v il t . . y $ / 6Y .i� tl i lk � i T`. ^ v 1i, k'ttiXT. iL'+ ��A�,4t �l. ��, '� `�� '�5 ; ar a�s* F.r: � r � ' t� � �S �^ �� Y+ � 44 1 }. `3 � '�NS ; 4 �cl � .+t[ � 1 �� � I�e� ii I, it \' ' A p - r � � i: ti�� , i� . ' 4!. ` �.- : � .. t,� � � .