4231 RUCKER AVE 2018-01-02 MF Import

W. D. Farm 4 I500 3-1-17 C. F. C{TV OF EVERETT==Water Depadmr.nt Application for SWate-r All blanks must be filled in or crossed out Everett.__ ._ ____191_%_ TO THE SUPERINTENDENT OF THE WATER DEPARTMENT, CITY OF EVERETT: I hereby apply for the use of water in accordance with the r ties and regula. tiuns of The water Department, for purposes and fixtures stated belaw. 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 ttrcet or allev in which they may have been laid, the City will not be required to famish water during the progress of such improvements to any consumer whose suppll may thus be cut off, or be liable for any damages for its failure so?to do. Application No..-1.(✓ Block .m2_A=__..... .I. ______'. _ �___.___._Add________________-.__ .____.___-_-------- , ________,________________________________----- The work to be executed by„______________. ------------- -- Ph rb r Stale ze of top. �� 15 s (y .-Tap to be inserted in the main. n ---- Water closet r (� C'- ________Bath -------- .Urinal _ ty ---------- Plain faucet inside --------- Side walk washer'' __._____Hose bib outside ---------- Hose bib for building purposes ---------- Hose bib inside /r lode �� !n, ---------- Bib for stable containing ------------ stall ---------- Number of peisons in family p _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 ac- cepted by The Superintendent of the Water Department. Signed _�r!d:_..f�Ci`tif!J__ \ 'Pi0/ • Applicant �I Accepted .1M. 19 0-----'---- / �c Superintendent /