3422 HOYT AVE 2018-01-02 MF Import

ENfd- y y W. D. Form 41500 3-1-17 C. F. CITV OF EVERETT==Water Department Application for Wager All blanks must be filled in or crossed otc Everett,_ _ O v ________.191 TO THE SUPF.RINTENDF.NT OF THE W R DEPARTMENT, CITY OF E`lERETT: f hereby apply for the use of water in accordance with the rules and regula. Lions of The Water Department, for purposes and fixtures stated below. During the time that any of the water mains may be taken up by reason of any improvements authorized by the City of Everett, in zr of any street or alley in which they may have been laid, the. City will not be required to fuarish water during the progress of such improvements to any consumer whose supply may thus be cut off, or be liable for any it for ffoor its failure so to do. APPlicatio o ----------- 1 Block ----�"7____ t7 _-Lot_Z__Ct.��_ �___ Add______________________ No...Y'.._._. ` ------------ Street _____________________ _ ------------- ___ __ _.._____.. The work to be executed by------ _ ._.__.._______________�______ Plumber Stale ize of tap. _Z __Tap to be inserted in the main. __Water closet ---- ---.Bath ___. ___..Urinal ---------- Plain faucet inside ----------Sid& s.. alk washer �,�G�r"+ M) ----------Hose bib outside Qq! k . _.___.__.lose bib for building purposes f"fb __________Hose bib inside �+t4^P ---------- 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 ------------------------------ This application, although signed, shall not he binding upon the City, until ac. cepted by The Superinten—d7,e,n�tof the Water Departareat. Signed .J_C(r2Y_.!'lf.._.[ p Applicant Accepted.-_-_19y� _ ....... /% Sapatlnten Cent