1822 RAINIER AVE 2018-01-02 MF Import

W. '.am a 1500 3-1- 17 C. P. CITY OF EVERETTWater Department Application for Water All blanks must be filled in or crossed out Everett. .............1,/�. Q-------- 191E TO THE SI TPERINTENDENP OF THE WATER DEPARTMENT. CITY OF E:'ERETT: I hereby apply for the use of water in accordance with the rules and regula. tions 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 :my improvements authorized by the City of Everett, in or of any street or alley in which they may have beer, 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 off, or be liable for :my damages for its failure so to do. Application No._____!_12 (� ��J______ i Block -8.�-_—___.Lot___�'�._-J--- ----------- Add --------- ---'-. No ------------- / 8Z 2_�:2 treet ----' -- -- — --' ____ ------------------------------ The work to be executed by ----------------------------------------- Plumber State size of tap. Tap to be inserted in the main, n 0' _ _. _ _ _ _ Water closet f ------ --- Bath -- ----- .Urinal ------ Plain faucet inside ------- Side walk washer P� _. _ _ .._Hose bib outside -------- Hose bib for building puriwses __Hose bib inside p, �• a ---------- Bib for stable containing ----------- s I___ � _• ------- Number of persons in family ------ Number of rooms in buildin The premises are to be used as a _._;/. ..___ _ _________ _____, The owner of the premises is ________________________________________________ Theagent is --- _.......... _-------------- _____________________ __ 'rhis application, although signed, shall not be binding upon the City, until ac• cepted by The Superintendent of the Water Department. Signed ._/Y.1/),=v..la,.:4__7!f/__ _____.Applicant Y - - — Y Svperlmendenr