1826 WALNUT ST 2018-01-02 MF Import

W. D. Form 4 1500 3-1-17 L. P. CITY OF EVERETT-=Water Department Application for Water All blanks must be filled in or crossed 4 ? ((/ Everett,__ _._ - __ _`?_7 ._. ____.. ___. 19Y..1 TO THE SUPERINTENDENT OF THE WATER DEPARTMENT, CITY OF EVERETT: I hereby apply for the use of water in accordance with the rules and rrgula- tions of The Water Deparnnent, for purposes and fixtures stated below. During the time that any of the water mains cony 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 Citv 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. Applicatinn Nn---- 77! Block ___________ ___Lot''_._..---- Add ------------------- .-- No ...... _.±u--,_--....Street /-- 2 The work to be executed by -------------- _...-______--___-____._._-_ Plumber Sta�tee size of tap. . _ _7: f _Tap to be inserted in the main. „y 7v CJ i .____. __._Water closet ._.___— Bath _ -------- .Urinal ---------- Plain faucet inside ---------- Side walk washer __t ------- Hose bib outside --------- Hose bib for building purposes --------..Hose bib inside ---------- Bib for stable containing ------------ stall - Number of persons in family - __ ___Number of rooms in building /J %///'�� The premises are to be used as a ------11; '_ ___________________ ------ The owner of the premises is -------------t''t---.R-_.________.------------ ___ The agent is . ----------------------------- This application, although signed, shall not be binding upon the City, until ac. d by The Superintendent of W epar /e/e S'gned --- _.—___:`c_�''.:`_��`�----- Applicant 1)te i2k_:5� B --------- / SUDerintenEent