358 HEATHER RD 2016-01-01 MF Import

W.D.Form 4 iu �� 7 CITY OF EVERETT-V'vATER DEPARTMENT APPLICATION FOR WATER All blanks must be fil]ed in or crossed out i Everett,.........._....._.�.. ......_....................................._.19_........ TO THE SUPERINTENDENT OF THE WATER DEPARThIENT: CITY OF EVERETT: I hereby apply for the use of water in accordance with the :ules and regu- lations ot the Water Department, for purposes and fixtures staled belo•.v. Dunng the time lhat any ot the water mains may be taken up by rcason of any improvernents authorized by the City ot Everelt, in or of a�y street or alley in which they may have been]aid, the City will not be requireti to furnish water during thc progress of such improt�ements to any cnnsumer whose sup- ply may thus be cut ofC, or be liable tor any damages for its failum so to do. Application No. / ' `� . f..��.............../...j.. f I �/� IIlocK.................................. ...Lot....._L....`.'.�.�_ . .._ Add...V.c.[��il-t. ary y��/ �J- t No.........J.,a._�2...._..L..Y.,<L.P_.Li.��r.y!,,.�_,.,J... ..`rJ.-`�... Street .........._--..... .......... �,,..�c�y(�_....... /.LG✓ _... � ............... . . � ....... ........ Tl�e tvork to be executed by.. ��.'��..... .................................................................Pl u mber �tc sizc of tap. ....��....Tap to be inserted in lhe main. �Vater closet /� . ..�....... �y,._ ,' ��-rC1� ..��'....Bath w�/ ................Urinal �iJ�Ge'�u�i.^^-c. ................Plain faucet inside ................Side walk washer � � IpI � ............._Hose bib outside ` �� '! .............._Hose bib tor building purposes �;p n 5 �p ................Hosc bib inside _� .t( U� ................Bib fur stable containing...................stall..�:l:;t_i:t'.:��,�r-,:'i. Number nt persons in family �'�'f1iCR DEp �; .�.....Number of rooms in buildin6 �-/��Jiu�� - The premises are to be used as a.._.................................................._...._ ..._._..._.... The owner oF the premises is......_......................................................................_........ Theagent is._..........................................._.................................._..._................._......... This applica!ior, althnu;;h signed, shall not bc binding upon t.he City, unti] accepled Uy the Superintendent of the �i'ater Department. . % � . Si�ned.......%. r�,' . , ,� .� 'J. ' :-. .l ..............._............:..................:.......:...�..............Appli:.ant Accepted.............__.......... ..._..........19.._... � By....._....................... ................................... uperintendent.