1605 VIRGINIA AVE 2018-01-02 MF Import

D. Form b rue—GP.C.. b-2a41 City of Everett�Water Department P T'PLICATION FOR WATER All blanks must be filled In or crossed out Everett........ .................Z........... 19J= TO THE SUPERINTENDENT OF THE WATER EPARTMENT: CITY OF EVERETT: I hereby apply for the use of water in accordance with the rules and regu. lations of the water 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 they may have been 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, orbeyliable for -any damages for its failure so to do. Application No......... j 5 S O R1ock......d.. ...Z.......... I.o .... ....-.-� .................. Add............ ..,...... - No ................ lo....d.�.......... ...liti�r' .................Street ........................................................................................... .... ... The work to be executed by........._ .U:-�.....-....--.��.-.........PlumbeFj _ State size of tap. ...I/'�-.Tap to be inserted in th main. 1 ...... ........Water closet ........ Bath Urinal � ...._ .... Plain faucet Inside ...... .— ... Side walk washer ...... ....... Hose bib outside .....=..Hose bib for building purposes ................ Hose bib inside ........—.Bib for stable containing .......... .......... stall ..... .............. ......Nrumber of persons in family .....0 .Number of rooms In building ,rnq�'_ n^ The premises are to 1.8 used as a...... . _....)I fc V .../. .... .... The owner of the premises Theagent is ................................. ........... ...-.................................................. ........... This application, although signed, shall not be binding upon the accepted by the Superintendent of the Water Department. Accepted...... .-. _IV .......... 192.4