3209 PINE ST 2018-01-02 MF Import

//_9.27t7,V W. D. Pozen) 1Soo—F..P.co, G.:a•21 - t.,.7-'7P,"''l City of Everett ---Water Department APPLICATION FOR WATER All bleliks must be filled in or cr?ss9d out Everett.............................._ .... �..- TO THE SUPERINTENDENT Or THE WATER DEPART31ENT: '••'I!)2. CITY OF EVERETT: // I hereby apply For the use of water in accordance with the rules and regu- lations of the Winter Deppartment, for purposes and fixtures stated he an Of any improvements authorized time tint by of he thev�CiLy ofnEverett n taken up reason alley in which they nmy have been Inid, 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 Its such for any damages for its failure so to do. Application No.......... 3 Block........../ 1....... ...... )Lot. ......... ..._......................... Add........... ... ...... No.... ._z 0...9....,................................Street The work to be executed by .............. St to size of top. c . ........... Tap to be inserted in the main. ---•-......... Water closet %...........Bath Urinal ................Plnln faucet inside Z ••_-._.......Sido walk washer ................ Rose bib outside 4 :Hose bib for building ......_ purposes ••eSC bib inside --..... _...Bib for stable containing .-•-.-.amber of persons in family •-••--.......Numbe^ of rooms in building The premises er., to be used as a....... .. The owner of the premises is ..... -...--• -• . .............a.... The agenti................................................................................................................. This applpl icationtion, although signed, shell not be binding upon t the City, until accepted by the Superinte dent of Water Department. Signcd.L . . ............ . Accepted........ �.- �...... B .... �..l' ...................Applicant .............. Superintendent