340 HEATHER RD 2016-01-01 MF Import

�% W.D. F�im 4 CITY OF EVERETT-�X�ATER �EPARTMENT APPLICATION FOR WATER All blanks must be filled in or crossed out Evemtt,..........._._ ........ ��...y.:......................191.Y TO THE SUPERIDITENDENT OF THE � DEPAR'PMENT: CITY OF EVERETT: I hereby apply for the use of water in accordance with lhe rules and regu- latinns ot the \Vatcr Department, for purposes and tixtt�res staled below. During the time that any of the water mains may be taken up by reason of any improvements authorized by thc City of Everett, in or of any street or allcy in which thcy may havc bcen laid, thc City wilf not be required to furnish water during the progress of sucn improvements to any consumer whose sup- ply may thus be cut off, or be liable for any da:iages tor its tailure so to do. Application No...r.:.l:�f�/ ...... ................ Block........... . Lot...............___.........._...... Add.__......._............................ UO......�........ /I No........��''._/�...E':a.�Ju?<..._(�...�d.—...................... .........._.......Street ..................................................................................................................................................... The work to be executed bY......-..............................................................Plumber State sizc of tap. ��.......Tap to be inserted in tbe main. �. , ................Water closet s �,� .. , � r� ...............Bath �. , � � � ................Urinal ��0'viU��` :'. �„�,}� ................Plaiu faucet insidc � � �� \n�, ................Sidc walk tvashcr �.H�;,.,: t. .�:' ................Hose bib outsidc i1�vfi,! .�; --" -� .__...........Hosc bib for building purposes � � � ................Hosc bib inside ................IIib for stablc containing....................stall.................... ........_......Number of persons in family ................Numbcr of rooms in building Thc premises are to bc used as a..........................................._._._........................... The o�,mer of the Prem�ses is...................................._._................_.............. ...._.__... TSeagent is..................................................................._................................................ This application, although signed, shall not be binding upor. the City, unti] accepted by the SuPeri �. ent o' iC�er Dy Aartme t. _ / Signed�`:1:��._"'�...............� vvfj..� .../�" izpPlicant .......... V�... ......... AcccP,cd_..._...._... .................._......1°....... BY......._........._.__.._....._...._.......................... SuPcrintendent. i; . *