1911 VIRGINIA AVE 2018-01-02 MF Import

W. n. Form ! 1500 0-1-17 C. F. CITV OF EVERETT—Water Department Application for Water, All blanks must be filled in or crossed out �// Everett ,_.-___.__-.-__- __._---------------191 %.--- TO THE SUPERINTENDENT OF THE WATER DEPARTMENT, CITY OF EVERETT: I hereby apply for the use of water in acconlanre with the rules and regula- tions of The Water Department, for purposes eud `nwtures 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, or be liable for any damages for its failure so to do. Application Nqqo--...-G_.-r-7-0 .--- Block.__ f��_. __ I.ot0-6.._.--- ._Add_zj—f '-_l.C=- No._-�.�'��/ _. _.. =«'___...Street -------- ---- _--- .--- .----------- _________.-_...__________________________. The work to be executed by. ------------ ------- --------- Plumber Stale ize of trip. _ z--Tap to be inserted in the main. ---- closet G dC, ... Bath /1 -------- .Urinal UUU ----- Plain faucet inside . -------- Side walk washer 1� Hose bib outside --------- Have bib for building purposes --------- Hose bib inside ---------- Bib for stable containing.- . --------- a II_ 4 ___ Number of persona in family vef--� S7-_Number of rooms in building L 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. cepted by The Superinlenn nt of thee Water De rlment. ....................----------- Applicai Accepte�l'-2_.,j'-`-__------ By, ------------ -- -----------' Suo�rlstmdrm