1901 16TH ST 2018-01-02 MF Import

F -IT-P. 9 - 2 S-.S'9j, %Y. D. F-M,4-I600—F.P.Ca.-5•26.26 City of Everett�Water Department APPLICATION FOR WATEER All blanks must be filled in or crossed out i ........._.............. . TO THE SUPERINTENDENT O THE E WAE' R DEPARTMENT- ' I hereby apply for the use of water in accordance with the rules and regu- lations During heter timethat anyDepartmentof the water mainsoses and tmayrbe taken upes stated lby 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 damages for its failure so to do. Application No.....7f.11..A.................... ' Block....�...........I.rt...............atreetd..S...::...-...r - I.o .. _...._..I t No.... .�....A./....... -.../ .� ._ ............................... -.-................ _...... tv............._................. ......... ............................. The work to be executed by ...... 61..I....... • - K+ ..... State size of tap. a „-f2.... Tap to be inserted in the main. ..,,,.... _... Water closet- ....1.........Both •„_G,�....Urinal ,•,-,9...,.... Plain faucet inside .....Side walk washer ,.,.,/... _... Bose bib outside �. ,,,-.•.Bose bib for building purposes ...... Rose bib inside �-,,.....Bib for stable containing....................stall.................... �dw Number of persons in family ,.,..Number of rooms in building Tpremises are to be used as a..................../.h ,Q The owner of the premises is.. li'-+-'`^ � T. The agents This apBlic accepted by thi Accepted... �.'/¢"..-,�r.,,�t...• •...192...... shall not be binding upon th4City, until Water Department. ByA-