2309 73RD ST SE 2018-01-02 MF Import

W. a. Form 4 CITY OF EVERETT-WATER DEPARTMENT APPLICATION FOR WATER All blanks must be filled in or crossed out TO THE SUPERINTENDENT Y THE EE WATER DEPARTMENT: th he s and lotions of theaWntcr I)epertment, forof water purposes and fixWaccordance ir etslaledebclowregu- Durinpg the time that anyy of thed ye water mains msy be token up by reason of le which they may author ezbeen laid, the City will not be requireof d tolfurnish water ytmayuthus be cut off, or be liable improvements damages to for itsconsfailureso to do. Application No ..... ... z.'A.' F....... Block................ ....................... Lot ............ ./................ ........... . ............................ ...........Street ......................................................................................... The work to be executed by.. .......... . . .. . .. . . . ... .......... .. ... ............. Plumber Slate size of tap. ,,..y .....Tap to be Inserted in the main. ..............Water closet ' r4 ...../...... Bath ................Urinal > ................Plain faucet inside rEI3 2 4 '65 ................Side walk washer f,,, 1` _,_...........Hose bib outside of Et'orek j ............ Hose bib for building purptis�iEPp,13 ................Hose bib Inside taining......... ...............Bib for stable con........... stall ... _... .... ,..,......-....Number of persons In family a ....Number of rooms in building The premises are to be used as a.....-.. - — The owner of the premises is..._. The agent is ....................... This appilcation, although signed, shall not be binding upon the Cit>. until accepted by the Superinten ent of the Water Department. d `� 7,a'M C. I ..... _.. ._..Applicant Signed ,/f .. ................... Accepted— ...... .. .19....... By..... .. .... .... Supernnlendrnt.