1705 VIRGINIA AVE 2018-01-02 MF Import

Nr D. F0r'4 1500 0-1-17 C. F. CITY OF EVERETT==Water Department Application for Water All blanks nos be filled in or cn,sscd � L w�y Everett.. I �`_��-.__. 191"--v 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 The Water Department, for purposes and fixtures stated below. During die time that any of the water mains may be taken up by rear'a 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 wider during the progress of such improvements to any consumer whose supply may thus be cut off, or be liable for any damages for its failure so to do. Applic t N =S0 5 7 R�.xk - - --- Lot._---'-- ------------ -Add -- No..__1.7O=T -- _4�!-------------- Street ---.-----.._..----" ---- The work to be executed by_-------------- ----------------------- Plumber state ze of tap. / eu -_ ----Tap to be inserted in the main. --_-- / --- Water closet / ---- Bath , .Urinal -------__Plain faucet inside --------- Side walk washer 1- ,._Hose bib outside -------- ..Hose bib for building purposes ---------- lime bib inside �\ _ -.___Bib for stable containing ------------ stall-------- / ------ ._-Number of persons in family __6 _-_Number of rooms in building The premises are to be used as a --------------------- ------ 'The owner owner of the Premises ia------------------------ _---------------------- .le agent is --------- --------------------------------- _ ,fo is application, although signed, shall not be binding upon the City, until a - • oy The Superintendent of the Water De artment..ta� Signed ------ JY-- _L. '_�� •/- _.. _. _ ------Applicant A,:epled.___.___.----------191 ----- Y- Sunarintentenl