3531 RUCKER AVE 2018-01-02 MF Import

:t : of ,verett�\Yater Department APPLICATION FOR WATER All blanks must be filled in or crossed out f/ Everett,......................�.0 .(l.:l '=2.. .....192..G. TO THE SUPERINTENDENT OF THE WATER DEPARTMENT: CITY OF EVERETT: I hereby apply for the use of water in accordance with the rules and regu- lations of the Water Department, for purposes and fixtures 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 regn(red to furnish water during the progress of such improvements to any consumer whose supply may thus be cut off, or begqliablle2for any damages for its failure so to do. Application No.........L.... ............. Block...................... .5... _...... Lot ..... ....6.......................... 1%L ' No............. The work to be executed by ............ . lumber State size of tap. -3—•� � .._4 .y.^.'..-Tap to be inserted in the mair}:.',.:/ ................BI ...r^I ,: �1, Water closet /..- �-•. ............ ... Urinal ,Li ........... _... Plain faucet inside ................Side walk washer .............. 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 The premises are to be used as a... ........ .:, The owner of the premises Is..,,..c ........._...... ............. .. .............. Theagent is ....................................................... .............................. _.................... _....... This application, although signed, shall not be binding upon the City, until accepted by the Superintendent oftheWater Department. Accepted.... .:..e��...Q.....192r By...... 0"In.,F rp,74*ent/