9727 31ST AVE SE 2016-01-01 MF Import

_ . .. W. D. Fo�m 4 CITY OF EVERETT-WATF.R DEPARTMENT APPLICATION FOR �1ATVR All blanks must be filled in or ;,rossed out Everett .............................._ e'�.'...;::..�............. ..............19'.:._!. TO TIiE SUPERINTENDENT OF THE WATER DEPARTME.'dT: CITY OF EVERETT: I hereby apply tor the use of water iu accordance with tt�� rules and regu- ]ations of the R'ater Deparhnent, For purposes and fixtures s[ated bclo�v. During 'he time that any of the water mains may be taken up Uy reason of any impravements authorized by the City of Everett, in or of any street or zlley in which they may havc been ]aid, the C:ty wi11 not bc required to furnish �vater during the progress of such improvements lo any con.vumer wl�ose sup- ply may thus be cut ott, or be liable 'or any damages for its failure so to do. APPlicatioit No...�...�..:�.r.'�..J.. ....... Bfoc::........................................ Lot........_._._._... -i , _ , No..... �..��.../.:........._.J/.:.�:�.:......... The work to be executed by ......................... Stale size of tap. ._��...Tap to be inserted in the main. ........_......Nal.cr closet / , .' ................Ba:tt j�?r t: � ................Urinal �' utl Add.............._.._._. ............... _..5 t rc e t ....PlumUcr � t, � � , / � '� � , � ................Plain faucet insidc n ............Side tvalk washcr fJeR �'6'�� `�� - � �� ..........._...Iiose bib outsidc � " �. Cit}� Of Ei', ,:._ ;, . Hose bib for building p��p��c ��-� ...........�....Flose bib insidc `� L' �" � . ................IIib for stablc containing...................stalL.._._....___.. _.._.........NumUer of persons in family .__,.::.......NwnUcr of rooms in building The premises are to be used as a ..............__....__._... __._.... ... ..... ._._._. .......__...... � The owner of thc Premiscs is....._._....._............__..._ ......................_.......................... Theagc� t is ................_...._..._...____........_........._....................._. ........................ Tl�is opplical.ion, although siFned, shall not 6e binding upan the City, until accepted by the Superinten�lent of thc Watcr Department. � r � "`. : � � �........ : �. ,,. , ,._. � ApPlicant Si;ned....�.:... �.. �.:..� ._ ..............�_�.._,......_................... ' , :lceep:ect._...... ..._._........._....__.._lP....... By..........__._._._ .................._.... ....._....__... Superintendent.