208 E MAGNOLIA AVE 2016-01-01 MF Import

- � . �% � � � W.D. Foim 4 . CITY OF EV�RETT-WATER DFPARTMENT APPLICAT�OI�I FOR WA'TEF� All blanks :�ust be filled in or cro;sed out Everett�................ .:��::.'..._C...�.........................__...._39_�!. %� TO THE SUPERINTEhLENT OF THE WATER DEYARTMEIIT: CITY OF EVEAETT: I hercFy apply tor the use of water in acwrdance with the rules and regu- ]ations of the Watcr Department, for purpeses and fixlures stated below. During lhe timc that any of thc water mains may be taken uP by reason of any improvements authoria.ed by the Cily of Evemtt, in or o£ any street o= alley in which thcy may have been laid, the City will not be re?uired to furmsh water during the Progress of such improvements to any consumer whose sup- ply may ihus be cut off, or be liab'l'eJ for any damages for its failure so to do. ��i� S � . % . _ Application No...��.-..u..G..._,��-.c.:.`_�.� _ L�.. �( �✓ �` <`'�[C,i� � " � Block._.....................................Lot......�..�.........._..._..... A�9._.....C4.c.:.r�.E::.�....._........ � ' .3 C <i_.� .. i .G,,.rt,_.......Strect No...................................��....`...............................I.j:,.... ... ./ ........The work to be executed by_....................................._.......... ....................P lumber St�te sizc ot tap. �� . J ', r../.........Tap to be inserted in lhe maia `t,��- � , � . ��' ��,�;,;,,�; I �. ................Nater c1osM /'� .....%_....Bath � L ................Urinal / S�..��C . .....Ylain faucet inside � .......... ' ................Side walk washer � ��. /lte.-� ��d L ._..........._Hose bib outside S'n � !' .......... ...Hose bib for building pw�poses ................Hosr. bib inside %a;,,��:cr ............_..BiU for stablc containinG....................stall..._`L.;�._�(,�• ,.:., �l.J / .....Iv�imber of persons in family '" ' -��"�" � -� � .......... . •' - .� � ��. >.«o�. ....r-�.........Nimibcr of rooms in Uuilding S �� The premises are to be used as a..........._..._.._ � �'rc c-,c<'_r� G-„ _........ . ._....._ ........... ............... Theuwner of the Premises is.................._......................_............................................ Thcagent is...................................._.._.........._..............._..........._._._....__.._......._..... This application, although signed, shall not bc binding upon thc City, until accepted by Ui6 Superintendent of the Wate:r Degarlment. __3inned_��:-.Cv......:�.^..G.7:-�.:.�....:L!r'�./�.:�....::.L!-:.:...................Applicant Ar:ccpted.....__.._. ... ._.. .__.............19....... By_........._........_...._. ..._._............................. Superintendent.