5211 52ND ST SE LINE 5 2018-01-02 MF Import

W. D. Fenn 4 1500 3-1-17 C. P. CITY OF EVERETTWater Departmt.Ant Application for Water All blanks must be filled in or crosssse/dl out Everett --------------- --' __________191%'U_ TO THE SUPERINTENDENT OF THE WATER DEPARTMENT, ciTY OF E` ERETT: 1 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 damages for its failure so to do. Application No._-_I_`2_'__/_ 17------- �r Block -�.�.-. _ --._ .____Lot_ --------------------- Add No, e4 dA�'S.------ Street -------------- The :•ork to be executed Ly---------------- ._----------------------- Plumber State size of tap. Tap to be inserted in the main. 1 / ---------- Water closet _ ---------- Bath .Urinal __________Plain faucet inside i o-S� -U- _C�'17ZSS _________Side walk washer i _ _ _ _ _. _ _-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 _---------------------------------------------- Theagent is ____._. __.___..______________------- .------------ .__-________ This application, although signed, shall not ne binding upon the City, until ac- cepted by The Superintendent of the Water Department. Signed ------- SLI---------- ___L_.::-.<_______Applicant Accepted -------------------- 191 By..._--__-_________ Superintendent