2126 WALNUT ST 2018-01-02 MF Import

� D. Fonn 4 1500 3-1-17 C. P. CITY OF EVERETT—Water Department Application for Water All blanks must I fil�lrI i nr(clrossed out Everett,_..---___-- V(---t-----'-�/-- - -t- '1'0 THE SUPERINTENDENT OF THE WATER DEPARTMENT, CITY OF E`JERETT: I hereby apply for the use of water in accordance with the rules and regula- tion: of The Water Department, for purposes and fixtures stated below. During the time that any of the water mains nmv be taken up by reason of any improvements nutbork:ed by the City of Everett, in cr of any street or alley in which they may have been laid, the City will not be required to furnish w: ter 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 Nn.__/.Z'_.B.S---- Block _____-____ L t�.._ - Add. No.- _1_ f!..__-.=t ....... Street _____________________ _ ---------------------------------------------------------- The work to be executed by ---------------- ------------------ ------- Plumber State size of lap. I 41 _ _Tap to be inserted in the main. __Water closet ------- I_Both ----------- Plain faucet inside �ht ___Side walk washer'" _._Hose bib outside t /SCjlr yp� __.___ _._Hose bib for building pro poses ---------- Hose bib inside _ Bit) for stable containing -------- ---- 911` _ ---------- Number of persons in family ___ -' -.Numbm' of rooms in building The premises are to be used as a ______________________________________ ------ The owner of the premises is ___________________ ____------------------- ______ Theagent is..___.._..--------------------- ------- .------------ .------ ----- This applicatio although signed, 'sI• " not be binding upon the City, until ac. tepte I by The Superintendent o. 'epartment. Signed .... __✓ . � � �=�%�!�-� ---------- Applicant SuperintendeN