2116 62ND ST SE 2018-01-02 MF Import

W. a. F.,m t CITY OF EVERETT-WATER DEPARTMENT APPLICATION FOR WATER All blanks must be filled in or crossed out Everett ........... .._......2?::HGx.nh...CG.......................... TO THE SUPERINTENDENT OF THE WATER DEPARTMENT: CITY OF EVERETT: I hereby apply for the use of water in accordance with the rules and regu- lations of the Water Department, far purposes and fixtures stated below. During the time that any of the water mains may be taken up by reason of any Improvements authorized b the City of Everett, in or of any street or alley in which they may have beenfai,;, the City will not be required to furnish water thus be cthe progress t off, or be liable for anyedamageto s for itsumer failu a so to do. Application No.•S••Y•- ....... Block.... .2.11...4.................. Lot....................................... Add........................................... — ...........Street The work to be executed by......................................................................Plumber State11'size of lop. ....t3 K..Top to be inserted In the main. ................Water closet .....Urinal ................ ... ... ......Plain faucet Inside % �/^LrK•' r ................Side walk washer,^ •i /�✓ DA (ON. i ................Hose bib outsidr ................Hose bib for building purposes /- ................Hose bib inside ................bib for stable containing ..................stall................... ................Number of persons In family ...... 4...... Number of rooms in building The premises are to be used as a ........ ....... .......... .._....... ..... ..........,............. .......... The Lwner of the premises is ............... ... ..... .............. ..................... ...... ....... ........ ...... . Theagent Is ................................. ..._. ... ........ ..._..._... ...... ....... ....... ............ ............... .. This application, althauph signed, shall not be binding upon the City, until accepted by the Superintendent of the Water Department. Signedl.4ko. A.L.... :. .................................Applicant Accepted, ... ... . .. .... -- .19 ....... By .............................. S-u- -e-ri-n-t-a-n-d- n-.......... Superintendent.