107 E MAGNOLIA AVE 2016-01-01 MF Import

-�- �'aCl W.C. Porm 4 �ITY OF EVEP.ETT—WATER DEFARTMENT A�P�,ICATIOI\T FOR WA'TER All blanks must be filled in or crossrd out - � ! Everett..........................._l� c.��.......C.:............._......19.`.y TO TFIE SUPERINTENDENT OF THE '�A DEPARTMENT: � CITY OF �VF;RETT: I hr.reby apply tor the use of water in accm•dance with the rules and regu- lations of the Water Department, for pw�poses and fixtures stated below. Dm•ing the time that any ot the watcr mains may be taken up by reason of any improvements authorized by thc City of Ever�:!. in or ot any street or al]cy in which they may have becn laid, the City�vill net be required tc furnish water during the pragress of sudi improvements to any consumer whosc sup- ply may thus be cut ott, or be liable for any damages for its failure so to do. Application No.��.`/..-.r?..._.......... Block........................................Lot............................_.......... Addl%i�,:hF-„1�r«.i �. ..........._.............. No.......�n �'-./.yy'..'...... c.r.L'.c.� ......Strenl .... �..... ......................................................... ..................................................................................................................................................... The work to be executed bY.......................................................................Plumber , State izc of tap. . � ' Ta to be inscrted in the main. �'`� �... P �ti,,._._.. ...............Watcr closet �/? _. ,Q� -f t�.,., . . ..........Bath yl I p ................Urinal .7�L 11; �6�i�V ��J ................Plaiu faucet insidc I ...............Sidc tvalk washcr p{ E.V2��`t II oj CiIY � � E _..........Hose bib outside .�ER pEPTt �' p ___...._Hose bib tor buildin Y1A�� - ._. g pm•pnses ' ��•J �� ___..........Hose bib inside .._............Bib for s[able contair.ing..._...............stall.._...__.__.... .__��....Number of persons in family .....%.......Numbcr of rooms in buildinE+ The premius are to be used as a........._........... ._.... ........_......__.__...._ _.... .___... The owncr of thc premises is.................................._._.................................._..__ . _. Theagent is......._._..............._...............................................__..._.._._.............._....__. 'Phis apptication, although si��ed, sha11 not bc binding upon the City, unti! accepted by the Superintendent of the Water Deparlment. 4 � . �� SiSned......_`:I.�:._'�`�:f.l.:.....��.L: �'`-, .....APPlicant ..........::�:c,�.::..:........__._.... AceePted.._._._._.__..............._........1^.._... By.__............,._..._.___.........................._....... Superintendent.