2111 MCDOUGALL AVE A 2018-01-02 MF Import

w. b. roam 4=s00—E.r.C..-s-s.za City of EverettWater Department APPLICATION FOR WATER All blanks must be filled in or crossed out .. `.._........._.......................1922.. Everett ................ .... . TO THE SUPERINTENDENT OF THE WATET:DEPARTMENT: CITYI hereby apply for the use of water in accordurce with the rules and regu- for lotions of theing thetimeDepartment, ptannt, the water mails 1mayrbe takenoses anxilles statel uplby reason of any improvements authorized by the C;ty of Everett, no, in r of any street or alley in which they may have teen laid, the City will not be required to furnish water during the Progress of such improvements to any consumer whose supply may thus be cut off, orr�/be liable io any dmnages for its failure so to do. Application No......d...5./�--...... Block.............. :_ ....... Lot ... .......... _.....�...... . Add:_.::...., i-.........._ -' ..Street ......................... ................................. ............ Plumber - State work to be executed by.... - � a State size of tall- ..... Tap to be inserted in the main. �.......\Vuter closet t .......... DECn ....'-...... Urinal 4 19 Cliy OF EVERETr ? ,. `....... plain faucet inside 0}. 1%AiER Side walk washer ............ ...,/,....... .Hose bib outside ":....Hose bib for building purposes ...Hose bib inside ................stall.................... Bib for stable containing.... ............. Numbm• of persons in family ,........Number of rooms in building The premises are 6o be used as n.. - '....................................... ..... ...Gl./..LJ`.--�Gl.>rt......... The owner of the premises is.._��. �� 'tie agent is ... ...................................................... ......_.._.............................................. 'f its application. although signed, shall not be binding upon the City, until 'acd by the Superintendent of the Water D arlment. _`...._ ..........Applicant Signed. .................. ..........�a_.