1628 MCDOUGALL AVE 2018-01-02 MF Import

W. D. Fmm 1 1500 3-1-17 C. P. CITY OF Eiil t:RETT==Water Department Application for Water All blanks must be filled in or crossed out r' e� Everett, --------- 191 -1--- TO THE SUPERINTENDENT OF THE WATER DEPARTMENT. CITY OF EVERETT: I hereby apply for the use of water in accordance with the rules and regula. tions of The Water Departnunp for purposes and fixtures stated below. During the time that anv of the water mains may be taken up by reason of mtv innvovenients authorized by the City of Everett in or of any street or all, v in which the), may have been laid, the City will not be required to furnish water during the progress of such improvements to may consumer whose supply may thus be cut off, or be liable for any damages for its failure so to do. Application No ------ ------- p Block -------- Add -----------'------ No ---------- A----`C-�'=' = `TZ11-.Street ______________ _________________________________________________________. The work to be executed by.- ------------- ..-------------- .--------- Plumber State size of tap. __- ______Tap to be inserted in the main. ---------- Water closet ------ Bath -� -------- -Urinal r' ------ .--- Plain faucet inside Side walk washer i --------- Hose bib outside ---------- Hose bib for building purposes ---------- Hose bit) inside ---------- Bib for stable containing ------------ still ...... ------ Number of persons in family - -` ---------- Number of rooms in building The premises are to be used as a_- --------------- _------- ___---------- - The owner of the premises is ------------------------------------------- ---- Theagent is _ _________________ _ _.___._____-____-------__---___ This application, although signed, shall not be binding upon the City, until ac- cepted by The Superinten rf • Wn r Department- � � �y nSigned ------------- f'�__..-/r� ; -- APP at Bye�e V ________S__per____________ J / i' ulmendem