1015 GRAND AVE 2018-01-02 MF Import

er W. D. Form 4 :500 0-1.17 C. P. CITY OF EVERETT==Water Department .Application for Water All blanks must 're filled in or crossed out Everett.-- --- 1/1-t-/ ---------- 191--' TO THE SUPERINTENDENT OF'L HE WATER DEPARTMENT, CITY OF E`JERETT; I hereby apply for the use of water in ac tadance with the rules an(] regula. 1 i ms of The Witter Dzpartm mt, for purposes and fixtures 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 Everett, in or of any street or alley in which they may have been laid, the City will 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 inv damages forms failure so to do. Application No.. ----- ------- Gj /��Al Block Z .-_ .___...Lut.___I �_ 0—.... Add.�[�P '",""'"' p.'_ ____.-__ r No..._/ qb _. J-------- -----...Street ..................... ..........' The work to be executed by ----------------------------------------- _ Plumber State ize of tap. _ _ y _Tap to be inserted in the n ain. --------- Water closet __.. J --- Bath __ .._. .Urinal _.._._.. __Plain faucet inside `,7 ---------- Side walk washer .......... Hose bib outside Or --------- Hose bib for building purposesP R ..-------- I lose bib inside ________Bib for stable containing ------------ 1 .PA. l�lg ---------- Number of persons in family _______Number of rooms in building �F r The premises are to be used as a_____________________ _ 4S The owner of the premises is ------------------------------- _-._______._--__ X 0 L07 The agent is ............................. This application, although signed, shall not be binding upon the City, ont' ac cepted by The Superintendent of7tthhee/Water Department.ed Surerintend:m