2630 HOYT AVE 2018-01-02 MF Import

t 4 15000-1-1]C•P. i a ==W ter Department .T Y OF EVERETT a p T Application for Water ,All blanks must be fitiedd in or crowed on // ✓ Everett._. __._ tY--`_=7-_-/______19X-___ TO THE SUPERINTENDENT O}RATER DEPARTMENT, f.1YOF VVERETT: I hereby apply for the Ps9 Of water in accordance with the tales and regula- tions of The Water Departwmt, for pugp .ses and fixtures stated below. During the time that any of the water mains may be taken tp by reason of any improvements authorized by the City of Everett, in or of any street or alley in which they may have been laid, the City will not be required to furnish water during the progress of such imp•xivements to any consumer whose supply may thus be cut off, or be liable for any dagrageg f//or its failure so to do. Application No.[_"��_..____.. - (----- --- Rlrxkq --- � / '__- ---'--1'0t --- ... (A -7_QAdd.------------------ ........---..Street ------ - -----------------------..__--- The work to be executed by ------------ ---- --- ------•---- -------- Plumber State �e of tap. _d_ : Tap to be inserted in the main. 0 ___Water closet ------- ___Bath .Urinal p1"' .I r.....,.., r��,vurtr;- ---------- Plain faucet inside ---------- Side walk washes ---------- How bib outside - .......... Hose bib for bull 'n purposes ---------- Hose bib inside ---------- Bib for stable containing ------------ stall .____-___ __.___.___Number of persons in family ---------- Number of rooms in building The premises are to be used as a _._ � --- --- ------ ------ The owner of the premises is -------- - - -------•----------------------- � ,The agent is.-------------------- _- a'`Ib • Nlication, although signed shall not be bindingupon the City, until ac- cepted Po r cepted-or The Superintendent a Vartm Signed __________ ___ ___________Applicant Accefo: j' 3�-_.___''�-'�Supurintsneent �/ z