3920 GRAND AVE 2016-01-01 MF Import

./ !, � r / 7 Y1. D. Porm 4 CITY OF EVERETT-WATER DEPARTMENT APPLICATION FOR WATFR �ill blanks must be filled in or crossed out '' .--:.._.._J.._...._ ...................._....._19..kZ...� TO THE SUPERINTENDENT OF THE A'ATER DEPAfiTnSENT: CITY OF EVERETT: I hereby apply for the usc of water in accordance �•ilh the rules and regu- lations of lhe W.�tcr Department, for purposes and fixlures stated below. DurinF the timc that any ot the watcr mams may bc taken up by tea �on of �my improvements authorized by thc Cily nf Everett, in or of any strect or allc;v �n which Uiey mny have been laid, thr C. cy will not be required to [urnish w�tor during Lhe progress of such improv��ments :n any consumer whose sup- ply may thus be cut o[t, or be ]iable for any damages for its .'ail�re so to do. Application No...I LG�...�..Y....�...........� Black..........:�_ ........................ Lol__._........:-.�.�......_............ Add//..............__............___....... ..� ,�. �;./_.Z�.:t2�_t_-cG� ...............Street No ......................... �. ..... . . ...... _.... ; Thc work to be execuled bY ...................-........................-........................Plumber Sta�c s;zc of lap. ....�._Tap lo be inscrted in the main. ................Nater closet . ......I.........Bath ,C.C��.O �i_��,�s'. ..... ...........Urinal - / � ,_ .............Plain faucet insidc ,_- "J�--(�'��'� ........_......Sidc tvallc washcr .............._Iiose bib oulside �; �'�;; � � � S �� ................Hosc bib for building purposes � �� '� \�� D �`� �, �� . _ : ................Ilose bib insidc `^ �`� � f i� � ^.._. c�� ........... _.BiU for stablc containing ...................stall_......\',.^�... � , . . � . .�.� < .._..... .._.Numbcr o[ persons in family �`;� '� •' Numhcr ot rooms in 6uilding ..�.......... The premises arc to be used as a......_ ..............._......._........_.._.__. ._.._ __......._.... The o�aner of the premises is......._......... _....._.._.._......_...._........._ .............._._._._. Thcagent is ............................._.....__......._.................._.............................._................. This application, althougli signed, shall not be binding upon the City, unli] aceeptcd by the Sup intendeqt of tl�e 1'l'�ter De{fartmen�. �j��..u.{��, �.tiv✓-ll`'�`��PPlic�nl Si4n....._�� ............................................................ Accepted............................................1^....... By.................................................................... Superintendent.