2601 19TH ST 2018-01-02 MF Import

W. D. Form 4 1500 0-1-17 C. F. + CITY OF CYERCTT==Water l ep,-rtment Application for Waterer All blanks must be fi 1 m or crossed out e� Everett,. -- �------ -----s2 `----_191 TO THE SUPERINTENDENT OF THE TER DEPARTMENT, CITY OF EVERETT; I hereby apply for the use of water in accordance with the rules and regula. tions 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 required to furnish water during the progress of such improvements to any consumer whose supply may thus be cut off, or be liable for any dam/ageess for its failure so to do. Application No._7 _ " _7 ___ Block --- ------Lot-' nn---/ Add_ ------------------- Nu._....Street .-- The work to be executed by_____________ State s''�7el�o( tap. __/Tap to be inserted in the main. �____ Water closet ____._--- Bath -------- .Urinal __________Plain faucet inside __________Side walk washer _ _ __ _ _ _ _ . _Hose bib outside ---------- Hose bib for building purposes .------------------- ---- Plumber i SkP 2 Hose bib inside --------- � \ per _✓ ---------- Bib for stable containing_______ ____stal _ \L4. __ Number of persons in family ___�^Number of rooms in building The premises are to be used as a ______________________________________ The owner of the premises is __________________ Theagent is. --------- _-------------------- ______.____________.____________ 'Phis application, although signed, shall not be binding upon the ity, until ac. cepted by The Superintendent of the Winer Departn Signed _____1� i ------- pplicant AcceptedL�______1919 By.-L / / L/ SuDetlnten�em