2111 RAINIER AVE 2018-01-02 MF Import

W. b. Pcon 4 1Saly3-1-17 GP. '" ^ CITY OF EYERETT-=Water Departmf Application for Water All blanks must he filled in or crossed out Everett.-------------- -' ._[-�-- -�--- TO THE SUPERINTENDENT OF THE WATER DEPARTMENT, CITY OF EVERETT: 1 hereby apply for the use of water in accordance with the rules and regula- ti mi u( The Water Department, for purposes and fixtures stated below. During the time that any of the water mains may be taken up by Icasa.0 of ;my improvements authorized by the City of Everett, in or of any street or alley in which they miy have been 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 any ddaamaaggeesss for its failure so to do. Application No.c`_7__ a. G-_________ Block _4-42-- ------}Lot_____ �7_____- --_1-LO.A'1r1—.-L-J_L.-------Street zrri The work to be executed by ------- _____________ Plumber Stale size of tap. r1 ID Tap to be inserted in the main. -/ ---- Water closet ---"------Bath -------- .Urinal IDS ___Plain faucet inside ' ----------- Side walk washer ---------- Hose bib outside ---------- Hose bib for building purposes ---------- Hose bib inside UX ---------- Bib for stable containing ------------ stall ..__ per d _____Number of persons in family _______Number of roams in building �%% r � The premises are to be used as a ____________________ -------- ----- The owner of the premises is __Q____ L.- ---------- Theagent is ----------------------------- ------- __________________________ This application, although signed, shall not be binding -up 11 the City, until ac. cepted by The Superintendent, of tile \\', -ell j 1),cyJ�-tment. \ Signed __�l%-f--,--•--/i_�.------- -----__Applicant Accepted.. �p_ _ I _C/___791 �( By_-________ T - UO U � Superinlendent l