1617 RAINIER AVE 2018-01-02 MF Import

W. D. Form 4-1500--E.P.Co—5.25@t City of Everett —Water Department APPLICATION FOR WATER All blanks must be filled in or crossed out Everett,...........!..../ ............ ............ .............. ... 19P.:5 TO THE SUPERINTENDENT OF THE WATER DEPARTMENT: CITY OR EVERETT: I hereby apply for the use of water in accordance with the rules and regu- lations of the Water Department, for purposes and fixtures stated below. During the time that ate, of the water mains may be taken up by reason of any improvements authorized by the City of Everett, in or of any street or alley in which they may have been lnid, 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, o�rr/be liable �or any damages for its failure so to do. Application No .... Q..3.31r... ...... -r/ Block ..............3_��.._��...... Lot..............................._.. Add.....:/K.�..1J.... U............ ... No...l�..r%....1/...:.J...C(..d.iy.c..c-..c..lc........... Street The work to be executed by ................... •• ......... .••••Plut6ber Slate size of tap. �� ✓�' �z........Tap to be inserted in her-mnin. ...... Water closet ... ..........Bath c....... Urinal ....Z........ Plain faue.t inside _. ....."-.... Side wa'K vasher .............Hose bib outside .....�.....Hosc bib for building purposes ,...... ...Hose bib 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.......G..:...'....... .. .. ...,C......._--• Theagent is .......................... _............................................ _...... __................................. This application, although signed, shall not be binding upon the City, until m ^''11 by the SuperinletWeentt, of tilee Watte�r,/Departme Signed..r. ...., /'U!l—t•....G..(%.jl!!.(!G. ....... .......i� .:Applicant Superintendent