3427 ROCKEFELLER AVE 2018-01-02 MF Import

• Y e W. D. Fern 4 1500 3-1-17 C. P. CITY 4F EYERETT'==Water Department Application for Water All blanks must be filled in or rossed ayy Everett,. -------: _-- _----- TO THE SUPERINTENDENT OF THE WATER DEPARTMENT. CITY OF EVERETT: 1 hereby apply for the use of water in accordance with the rules and regula- tions of Tho :later 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 thev may have been laid, the Citv will not be required to furnish water during the progress of such improvements to any consumer whose supply may thus be cut tiff, or be liable for any damages for its failure so to do. Application No.. __-�- ............. Street ------------------- _______________________________________________________ The work to be executed by________________ ________________________ Plumber Stale/size of tap. d o -_ "/__,2?-Tap to be inserted in the main.--� S �_ _ _ Water closet. Rath --. .Nrinal- _ --_-- yPiain faucet inside ---------- Sldewal vas ter --_--I..-Hose bib outside --__--__ _.,Hose -bib for building-putposes ---------- Bib Hose bili tnsiTc -'---.___-for-stable'corrtairtirrg.___.___----stall.__. Number of persons in family , -___- '_ Number of room, 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- epted by The Superintendent of :he Water D eep tiin1 n ,1i.ItkAAA1 ^ r, Signet_Cjb1.\II✓Applicant •cepl �//yy- q - ----------------•----•---•-----� 7� SuDerintendent '