4719 GREELY ST 2016-01-01 MF Import

�' . , � � � W. D. Porm 4 ' CITY OF EVERETT-WATER DEPARTMENT APPL�CATION FOR WATE.R All blanks must 6c filled in or crosacd out Everett ............. ,, ; _ ; . _; / . ._.._._ ............. _ _..........................................19 _........ TO THE SUPERINTENDENT OF THE NATER DEPARTMENT: CITY OF EVERETT: I hereby applp for the use ot n•ater iu accordance with the rules and regu- lalions ot the Nater Department, for purpases and fixtures stated below. During the timc that any of lhe waler mains may bc taken up Uy reason of any improvements authorized by thc City ot Everclt, in or ot any street or alley in which lhey may have been ]aid, lhe City wil] nct he required to furnish water during the progress of such improvements to an}• consumer whose sup- ply may thus be cut ott, or bc ]iable for any damages tor its tailure so to do. /' 4`�%/ , Application N � ' %� � d...:....1...` ......................... , , • � � i -, ' i �- C � Block ....................................... Lot.,L....:..L...%-..L.:.:........._ Add......:..:.;..,..i..:.:_..__..:...:... /% ..: No.._.....�.... �(..�.. 1.........._�.: �.L �T ..r:_C...G!J.....�L-c.�. ...._ ...................Strccl i: Thc tvork lo Uc execuled bY ......................-........--.........-.............-......-..Plumbcr Slatc size of tap. / j� . ^._, � j C . .c',(�.�� Tap lo Ue inserted ir thc main. �� ....I/�' l ...��.�Vatercloset ' %�� ......._.......Bath � . �• � �I,.� i. ................Uri nal - �• ! ,:' ...............Plain faucet insidc i � ac4 ........ ........Side walk washcr JULr " ............._.Hosc bib outside ,,��ty Gp Ev��li ................Hose bib for building purposes �l�nT�� DEPT. � ................Iiose bib inside }. ................Bib for slabfc containin - �- g ...................stall..........,!S„/J�.�� Ca'� � <_ _..NumUcr of persons in family / /--� . 'Lc.�. �n_�,.� :>.?_.........Numbcr of rooms m Uuildin6 /,.', The premises are lo be used as a..........�:._.-. 'L . ............................................ ................. The owner of the premises is ......................_......................................................_....... Thcagent is......_ .................................... ....._..................................................._.._..._... Tl�is application, allhough signed, �halt not be binding upan the City, until acceptcd by the SuPerintendenl of the W/aler Department Signed_........_:�.:.....,�[.`..�'� (�.`.L._`.:�� .:........................_.........Applicant Accepteu__..._. _........__..___........1^..._. By...........___..........._ ...................._.._.......__. S�perintendenl.