1910 MCDOUGALL AVE 2018-01-02 MF Import

W. D. Form 4 1500 3-1-17 C.P. CITY OF E',TRETT==Water Department Application for Water All blanks must be fided in or crrrossed t Everett,-'._ _ `� __19Y" _ _ ._____--_ ------ TO THE SUPERINTENDENT OF THE \YA ER DEPARTMENT, CITY OF E`lERETT: 1 hereby apply for the use of water in accordance with the rules and regula- lions of The water Department, for purposes and fixtures stated below. During ,ne 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 anv street or alley in which they m-y have been laid. the City will not he required to furnish water during the progress of such improvements to any consumer whose supply may thus be curt off, or be liable for any amages for i s failure so to do. Application No..c/_�i_1_�---_.__ ^� IBock Lm__`2� �P� U .Add.__.._.___._.-___-__ / ______ ____ __ _Street .-------- ----------------------- The work to be executed by ------------- ---------------------------- Plumber State j ize of tap. f-y Tap to be insert 1 in the stain. __water closet -_ _. _%___Bath CA—& -.------ .Urinal ---------- Plain faucet inside •,L.V ._�\ ---------- Side walk washer ---------- Hose bib outside --------- Hose bib for building puoWses _ _______ Hose bib inside _-stall. u__ _MaV �U�CQr l� 1. --- Bib Bib for stable containing______. _ (( ----- Number of persons in family W a+t^ ax � _Number of rooms in building i The premises are to be used asa--------------------------- - The owner of the premises is --------------------- ___________________-._____ The agent is ----------------------------- This application, although signed, shall not be binding upon the ity, until ac. cepted by The Superintenden /j/�/ro Writeerrr Deppent. Signed_/'It'_��!1/__�"'f'-'�" . ___ ____ ______Applicant Se_ - ------------- Suoerinten