2920 GRAND AVE 2018-01-02 MF Import

Ey f t _2 Lr J7 3-.24-231?T. W. b. Fom C 1500 3"1-17 C. F CITY OF EVERETT-=Water Department Application for Water All blanks must be filled in or rossed out Everett,._ D ------ -- TO THE SUPERINTENDENT OF THE WATER DEPARTMENT, CITY OF EVERETT: I hereby apply for the use of water in accordance with the rules and regula- ti,ms of The Water Department, 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 an)- 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 ,ff. or be liable for any damages for its failure so to do. s / p Application No ------- Lot. _ 6 �-1-------- r Lot._ 3_. _ Add.-L .__.._-_. No. ._e'7 --L- `�-J..___.. Street --------------- The work to be executed by_.-------------- . Stalize of tap. _.. a'.Tap to be inserted in the main. _-//_ _ _ _ Water closet _. _f-_-Bath ._- .Urinal ---------- Plain faucet inside ------ .--- Side walk washer ---------- Hose bib outside _•_.______Hose bib for building put Poses ---------- Hose bib inside .......... Bib for stable containing__-- .. __.Number of persms in family -- c� --- Number of rooms in building The premises are to be used as a ____.-___-- _...._._....—__............ ___________ Plumber _stall ._.. ..... The owner of the premises is _____________•_.._._..__. -------- .________.__.__ The agent is _ ________------- ________••_•___-•_._______ This application, although s;gned, shall not be binding upon the City, until ac. cepted by The Superintendent of the �Water Department. X Signed _{-�19-_-- -- / Applicant Accepted.___ .. __. _.191. By_p__________ ______________ U�J� suoertntenaem