3503 OAKES AVE 2018-01-02 MF Import

76--d1.. I `c�-3 _ -:) ) G ��✓y� W. 1). Form 4-1600-E.P.Go.-6.26-24 City of Everett —Water Department APPLICATION FOR WATER All blanks must he filled in or crossed out Everett. ................ ............. TO THE SUPERINTENDENCI Y OF EVERETT DEPARTMENT: I hereby nppl)- fortheuse of water in accordance with the rules and regu- IationaDurintile g then me thatt any of thfor e waiter mains s and nmylbe taken es l up by reason of any improvements authorized by the City of Everett, in or of any street or alley in which �hev o re saof such ive been' mprovements the City toll not be any consumer whose red to furnish supply water during the p.' g , may thus be cut off, or be liable for ny damages for its failure so to do. Application No.. ._ -5 a . .., Block .-.-./..�....P...`....../...�.......... Loot.. )............��...................... Add...:: '.:i :... No ..... L ...... Street ............................ . .............. . .._ ...................plumber The work to be executed by......_....L��6 State size of tap. .../, /, Tup to be inserted in the main.(� - Water closet ...!.........Both . CiT " .....—.....Urinal VIATEQ C�F'T ,.....Plain faucet inside Y OF EVERET G'l............... ................ S;�e e•nik washer t ..............Hose bib outside ............... .Hose bib for building Purposes ,_.,..—....Hose bib inside ........ Bib for stable containin g ....................stall.................... -,-............. Number of persons in family .. Number of rooms in building The Premises are to be used ns a ..... �. -__... The owner of the Premises is..... ... ��-- �� P..!vT,.f...f..`... �� ................................. �Fent is ...... ...................... ......... ............................................... ';cation, although signed, shell not be binding upon the City, until Superintenden of the Water Department. PB can r;ncd..:.r ............;&Z.....A lt BY.........ntendent