1915 VIRGINIA AVE 2018-01-02 MF Import

W. D. Fmm a 1500 0-1-17 C. P. CITY OF EVERETT= Water Department Application for Wat/gr All blanks must be d in or crossedd out ��/' Everett. -__-- .J.�/__.191 TO THE SUPERINTENDENT OF, E WATER DEPARTMENT, C OF FVERETT: I hereby apply for the use of water in accordance with the rules and regula. tions of The Water Department, for purposes and fixtureo stated below. During the time that any of the water maina 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 oN, or be liable for any damages for its failure so to do. Application No.-___7 e 5 b - Block..3�y�_7. ____ Lot ..__ _� Add__ __../�/_ .1ti4-'sue._.. Street ------ - ------- - - ----------------------------------------- The work to be executed by ----------------------------------------- Plumber star size of tap. 7..:'__Tap to be inserted in the main. _--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 ---------- stal _ _ _ _ _ _ _ _ _. 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 me. / cepted by The Superintendent tof the �Water �Department. igned ___._'.. Applicant / Accepted_ 191g By_ SuaerinlanEenl