206 HEATHER RD 2016-01-01 MF Import

��- W.D.Form 4 CITY OF EV�RETT—WATER DEPARTMENT APPLICATION FO�t W�4TER All blanks must be filled in or crossed out Everett................. .........../��'_3..U.................._._....19_..4�...� TO THE SUPERINTENDENT OF TIiE `F/ATER DE;PARTMENT: CITY OF El'ERETT: I hereby apply tor the use of water in accordance u�ith the ru]es and regu- lations o[ the Natcr Deparimenl, for purposes and fixtures stated bdow. During the ticie that any of the water mains may bc taken up by reasun of any improvemeats autha�rized by the City of Everett, in or of any strect or alley in which they may have becn laid, the City will not be required to Curnish water during the pragress of such improvements to any consumer whose sup- ply may thus be cut of(, or bc liable tar any dama€;es [m• its failure so to do. Application No....f�E'..�..��......... Block....................... Lot...�...�_°�.��....... hdd.. ............................._.... ....._G.� � No............................�...................��.�'.-�f��i'".....'.....".:...Strcet ............... ...................................................................................................................................................... The work to be execuled b.Y................__._.............._................................Pl�mber S�te sizc of tap. - .. y i��... ....�7.......Tap to be inserted in the main. ' �-�� -�C .._�.........�Vater closet I�' � ._.............Bath � !�//� :1�.�, )Lo ................Urinal �� C �f 0 � y- ................Plain faucet insidc ......._.......Side walk washer �� " f� ................Hose bib outside / � �� 7 " � � -�-��_-•�✓: ................Hose bib for buildin6 Purposes ................Iiosc bib inside ................IIib for stablc containing...................stall.................... ......_.......Number of persons in family ................Number of rooms in building The Premises arn to be used as a..._.._................__.._...................__...... ................. Thc owner of the premises is......_�......__......... ......... ._.._..._.__...__..... i / ...... The agent is................_.............,:.�_.�:t_/./2-.C,.S'-C�........................__........... This application, altliough signed, shall dot be bi ing upon 1e Cit}�until accepted by thc Superintendent of Water De a ment. / . n`./.>�� /�/ SiFned.�.....�...r:_��/�ll��....... ....C'uG.G�_.4.!!:...?ApP}icant n��er�iea._....._ . __ .._......_._..........i ....... '' sr............... . ..%_..................................... - SuPerintendent.