2225 RAINIER AVE 2016-01-01 MF Import

._ ,,� , . ., - � .. -�'� - �_, _ W. D. Pcrm ! 1 S00 3-I-17 C, p, CITY OF EVERETTa=Water Department Application for Water All bianks must be filled in c rosscd uut EveretL._�,.__ -�_� i-�. --'---- "'--- --'---"-19t-- - 'PO THE SUPERINTFNUEN'P OF TNF. WATER DEPARTMENT, CI7'Y OF E`IERETT: 1 hereby apply (or the use ol water in acwrdance with thc rules and reRula- tions ��( The Water Depar[m �nt, for purposes and fixtures s[a�ed bebw, Uurinq [hc tinte Ihat ;my of Ihe watcr mains may be taken up by reason of :my imprnvements authorized b�� the City o[ Evcrctt, in or of any sireet or allcy in which they mag have been Inid, the City will nn[ be n�uired to (urnish w•ater during the prugress of such improvements- ln an)' eunsumer whou� supply mny thus be cut �dt, or be liable for any .dya�i/,�ges fnr ils tailure so �n do. Applirntinn'N/o.____./_�O. �'a_____ Nlock ._._"t`-_-� "Z—�-j-�-Lnt.__.�_� ¢- /'� ---Add.---- �-------- ._ h n.. �.2 .:�_ : �'.�`�/ -�'�!-«.-C�v_' _ _ .. Strect The wnrk t�. becxrcuted b)'.__""____""' __ `�.. __'__ '__ ____ Plumber � State ize of tap. - � ^Z _Tap to hr inser�ed in [he main. ._ �_/ , "___ �___1Vatercloset � �a "'-I'---Qath � � — �o� ��_ __"'__ .Urinal � .__._.__Plain (nucet inside ______Side walk washcr � --- _ _. _ _ . _ Hnse bi6 uutside ' .--"'.._.Hose bib fnrbuilding purpnses - _ - _ _ _ - Huse bib insidc —""""Bib (or stnble containing . _ _ _ _ _ _ _ _ stall.. _. .' _ _ ._ _' C_ __"'Number of persuns in (amily. . __!_____Number nf roums in huilding� / . , N / The premises are tn be used as a _ ._. _ . . __ _. �.,4-� _ _ __ _ � __ 'Che owner n( the prem isrs is _ _ _i .� ._ _'. . �e ' � _ _ _ _ _ _ _"' _ _' _. Thca6entis ._"'..___..__._'_._'_____"_ '____.'_...___". 7'his applicalion, although signcd. shall nol bc bindinK ��P�� lhe City, until ao- ��ted by The Snperinlendent ot [he Neter Dcp:�rtmcut. Si{;ned-�--'-/it.:'�_/,/jf�.- ppplicant ` _...___ ._'____"_' / ,«�u«��.��3---�-�'� ❑>'��._..----- -�� --- Superimen?em