4012 HIGH ST 2016-01-01 MF Import

? -�ri3_z.f"'c rw�-�.i,a�� —'��y�"f'i'•rJ ��_ N'. O. FormA—IGaO—EP.Co. 6•�e•EI City of Everettr-Water Department APPLICATION FOR WATER All blanks mvat be filled in or croased ovt , �7 � Everett......... c�.. .%.%. ..��...... ...p1,.� ......................192.J.. TO THE SUFERINTENDENT OF THE Vl'ATE��" AP.TMEnT: CITY OF EVER� I hereby npply for the use of water in accor�nnce with tFe rvles nnd regu- lationa of the Water Department, for purposes and fistures stnted below. During the time thet any of the wnter mains may be taken up by reason of an�� improvemente authorized by the City of E�•erett, in or of eny etreet or alley m which they m¢y have been laid, thc City will not bc required to furnieh wuter during the progresa of auch im��rovements to any coneumer whose supply may thus be cut off, o�j be linble i r:my damnges for its fnilure ao to do. APPlication No....Q..�..�.�....�........... Block .......................�^�............. Lot..... � `� Add..................... c��/.............................. ...................... No....--�� ..OF..../:D..�-.. . .. ...........................3treet ................................. Thc work to be executed by ................ ........:... ....... 1......_..�..L,........Plumber State size of tap. � ,1 ' — �.� � ..�2......Tap to be inaerted in t main. � ......�........Water closet ....I..........Beth ..... �......Urinal � .....z.......Plain feucet inside ....._L...Side walk wesher .---, , ;j- .....�.........Hoae bib outside � ' � ........Hose bib for buildin � �� g purposea � ...._�......Hoae bib inaide ....._L.....Bib Yor atsble containing ....................etall.................... ....... Number of peraons in family � . ........Number oL mome in building The premisea are to be need as a......,,.....�:C,�A-C �_ �,� The owner ot the prer.�taea is...C- The agent is ............................ ...... . Thte application, althou ' ed accepted by t6e SuperintendepS of the be binding upon the City, nntil