1400 SEINER DR 2018-01-01 MF Import

' "�� W. 0. Fo�m 4 �� CITY OF EVERETT-WATER QEPARTMENT �.APPLICATION FOR WATER All blanks must be fiL'ed in or crossen out Everett ................. ...........5./..�.�...�:...��............._......19 �r:.� TO THE SUPEliINTENDENT OF 'P14E NATER DEPAR'Cn4ENT: CITY OF EVERETT; I hereby apply far the use of water in accordance with the rules and re6u- lations ot lhe Water Department, tot purposes and fixtures stated below. During thc timc Lhat any o[ thc �catcr mains may bc taken up Uy reason of any improvements authorized by thc Citp ot Evcrett, in or of nny strcet or a11=y in whidi they may have bcen laid, thc City will not be rc9uired to `urnish water during the progress of such imprevements to any consumer whose sup- pl;� may thus be cut off, or bc liable for any damages for its tailure so to do. / `+� � �i `% . - Application No_l......(5.....d....1..�...... �0�" �;- �.��.•�-> � ,� . Nlrck....................................... Lot...................._..................�....._._._................_.......... No ..................................... . C �1...:!� .�...G'�'�........`;zG:......Strect ,�... ./._..:..� � YnU . ............................................................................................................................................ The work to Ue executed by .. ............_............... Slat� sizc of tap. _.��........Tap to be inserted in the main. ................R'atcr doscl ................ B a t h .... ........... U r i n a I ...................P I umbcr �' ��.EGf�•-. .._.Plain faucet inside � � �G� _.__.. � ......_.......Sidc walk washer r�`.L,. .._............iIose 6ib oi�tsidc .....__.......Iiose biU [or huilding purposes ..._..._......Hosc bib insidc ................IIib Cor stablc containing.._...............stall.. ... _. _ .....N�umbcr of persuns in tamilp .__. ........Numbcr of rooms in building b d � { r, �• `�i t��u� �� , , �yy.�f The P�em�ses are to c use as a..... .____._ ......_........._.__..___ ........................... 'Phc owner of tlic Premises is_..._..__._.._.... ..._.._ ................_._._.......... ....__..... Thcagent is ......................._......_...__....__......._.........................................__........_..... 'This a��plication, althou�h signed, shall not Ue binding upon the City, ur.til accepted bp ihe Sup �ipteqdent f tlic �ater Department. ,. '`/ �f � i �i JG 4� (/ l � Si �.CIG.G.L. ' .�1........../.....�.(�'�..�f..Applicant Accepted.........._._ ........................._.1�....... Sy............._......................_...._._.................... SuPcrintendent.