1806 VIRGINIA AVE 2018-01-02 MF Import

W. D. Foon { 1500 3-1-17 C. P. CITY OF EVERETT==Water Department Application for Water All blanks must be tilled in or crossed out Everett,.____________________ TO THE SUPERINTENDENT OF THE WATER DEPARTMENT, CITY OF EVERETT: hereby apply for the use of water in accordance with the rules and regula. lions of The Water Department, for purposes and fixtures stated below. Dating the time that any of the water mains may be taken up by reason of any improvements authorized by the Citv of 1-serelt, in or of any street or alley in which they may have been laid, the City will tiot be required to furnish water during the progress of such improvements to any consumer whose supply may thus be cat off. or be liable for any damages for 2its failure so to do. ')• Application No.. ---- Block �g (-ro___U,t.n�.�,:f= . - _..Street___.. ____ Nu is o --------------------- _ ___________ _ ------------------------------ The work to he executed by ...... ------- - ------------------ ---- Plumber State size of tap- _-lyr__Tap to be inserted in the main. , (_ _ _ _ _ Water closet ------ Bath -------- .Urinal ------- .__Plain faucet inside Side walk washer ---------- ......... Hose bib outs,de ---------- Hose bib for building purposes ---------- Hose bib inside --------- Bib for stable containing.__ ____ _.. _shill --- ____ --__ __ __-Number of persons in family ......... Number of rooms in building The premises are to be used as a __________________ ------------------- ___--- The owner of the premises is ------------ ------- - The' agent is _ ----------------------------- ---------- ._--_ This application, although signed, shall not be binding upon the City, until ac- cepted by The Superintendent of the WaWy, ep rh_nent Signed ----- 7. __ _ plicant Accepted..?--r�$__3�=r191 `By -_._r� _ . y. �, _ �Imendent �.