1828 HIGHLAND AVE 2018-01-02 MF Import

.• ray._. r,�� _ r � -. Lfu (juv� W. D. Form 4-in00—E.RCo.-5-^-G-PL City of EverEtt---Water Department APPLICATION FOR WATER All blanks must be filled in or crossed out Everett ............ %,�f.�. / .... TO THE SUPERINTENDENT OF THE WATER DEPARTMENT: CITY OF EVERETT: I hereby npply for the use of water in accordance with the rules and regu- lations of the Water Department, for Purposes and fixtmrs 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 Everetc, in or of any street or alley in which they may have been laid, the City w:11 not be required to furnish water during the progress of such improvements to any consumer whose supply may thus be cut off, or be liable for any damages for its failure so to do. Application No..... . Z_ � .-� Block..............3 __..(..�................ Lot............ � .... Add.........:........ No...... Ov Q,..../... .....................Street The work to be executed by .................... ..Plumber State size of tap. + ...�2.._.TaP to be inserted in the main, p S h•.- y .......! ....Witter closet ....... L....... Bath CITY OF EVER T VIAT0 DEFT ...... . ...... Urinal L'Y................ .......................... -.. L.......Plain fnucet inside _._.._ .....Side walk washer ...... ..._... Hose bib outside .......—:,.Hose bib for building purposes ........... .Hose bib inside ........:—.Bib for stable containing.. .................. stall .................... ..._.../... of persons in family /....Number of rooms in building ''he premises are to be used as a.. ... . ...._. .. T-•- inner of the premises is.....'.... eqtis ...................... .... .................................................. . tication, although ed shall not be binding upon the City, until Is Superintpyden the_M%Wr Department. �• . n L'..0_ Superintendenr