3420 NASSAU ST 2018-01-02 MF Import

Q,,r-J M-3-z8-Ir R'. D. form a - I500—&P.Co.—G 2G-24 City of Everettr Water Department APPLICATION FOR WATER All blanks must be filled in or crossed out Evorett......_O�G ,_..........................................192..& TO THE SUPERINTENDENT OF THE WATER DEPARTMENT: CITY OF 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 any 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 laid, the City will rot 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 n damages for its failure so to do. Application No.... ....P W0 72" Block......£%.% :... .................. ........................ Add.«tt1..'...,1..V................. No..........� y20 •f%1� .....Street ................................................................ The work to be executed by........... arlhn'lf/..7{c...................... Yf "• �`� State size of tap. f�.....Tap to be inserted in the ..../......... .voter closet W MAR ........ ..._... Bath CITY OF EVERETT R DEFT .... .........Urinal ....... Plain faucet inside .....- ....... Side walk washer ...../.......... Hose bib outside ...........Hose bib for building purposes ................Huse bib inside ..............Bib for stable Luntnining.................... stall ............. ...... .. Number of persons in family ..Z.......... Number of rooms in building The premises are to be used as a ....... .. Theagent is..._�.............................................................................................._........... aoplication, althou signed, shall not be binding upon the City, until the Superinter t the Vnter Department-., ned_........ ...... ....... ..........A plicant r....P_.....1. . !a.' By ............. -ri endent:��