2628 GRAND AVE 2018-01-02 MF Import

W. D. Form 4 1500 3-1.17 C. P. CITY OF EVERETT==Water Departme-ilt Applicaticm for Water All blanks must be filled in or crossed out Everett,. ------------- _..___._._�_�_l..- TO THE SUPERINTENDENT OF THE WATER DEPARTMENT,. Cl11' OF EVERETT: I hereby apply for the use of water in accordance with the rules and regula- 6..,:s of The Water Department. for purposes and fixtur:s stated below. During the time that any of the water mains mny be taken up by reason of any improvements authorized by the City of Everett, it 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 any damages for its failure so to do. Application //No..___L__f �_l____- y�A/ Block ._._4�_1_4_ .p Lot .___./!!_.____.-__-. Add -_---..----.------_ No._2_G g__�._.Z�u�,�i-------------Street --------------------- The work to be executed by ----------- f1....------------------------- Plumber State ize of tap. 3 ... Tap to be inserted in the main. ---------- Water closet /I/ el _ i C ---- Bath -------- .Urnal p _ ... Plain faucet inside , rG•2 d ----- ---- Side walk washer ---------- Hose bib outside ._-. -_-Hose bib for building purposes .__ -_--Hose bit, inside ._.. -___ Bib for stable containing ------------ stall.----------- ._ Number of persons in family ___� --- Number of rooms in building The premises are to be used as a -.__ .. ....................... The owner of the premises is Theagenhis.------- _— ..._._----------- ------- _______________.___._---_ 's application, although signed, shall not be binding upon the City, until ac. The Superintendent o Water Departmen `L. Signed_____________._..__...___ _ plitant .ed.__� _�.ryY By_ _. _ .�'_________ i oerinlendent / '