1831 WALNUT ST 2018-01-02 MF Import

W. 1). t'orm 1-1600—&P.Co.-636-21 f-.Wr City,of Everett --✓Water Department FLICATION FOR WATER All blanks must be filled in or crossed out Everett„ .................... _5.—.....02Q..............192.<P. TO THE SUPERINTENDENT OF THE WATER DEPARTMENT: CITY OF EVEP.ETT: I hereby apply for the use of water in necordonce with the rate, and regu- lations of the Water Detmrtment, for purposes and fixtures slated 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 Inid, 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, orppb liable for any damages for its failure so to do. Application No..._ — -. 0...U,._._,_...._...-7 0 %7 Block....... .f........................ ........ I.ot...................... _.. ....... Add......... d...........'_ _. No..._�_ ..3L..y�(�..4:!-.cam. Street .................. ........_................................................ .................... ................... ._.._....__....... ....... The work to be executed by............ .... Plumber Stat size of tap. 1 ,'; .�_ t to be inserted in the main. iv"`` Water cloaet .........Bath Clfi' OP4�� ................Urinal `Y il,k .......... ..............Plain faucet inside • . ......... ...............Side wall: washer ... ../.......... Hose bib outside ................Hose bib for building purposes ................Bose bib inside ................Bib for .stable containing .................... stall..._............ ................Number of persons in family ... /.......... Number of rooms in building The premises are to be used as .. _.. .......... The owner of the premises is... .... ... ... i.:...... ......... The agent is .........................._ .. Phd application, ajthu4h, sign all not p bindfb jlPon the Ciq, until accepted b the Su , -it t sign t cr t be t