203 73RD ST SW 2018-01-02 MF Import

W. D corm 4 CITY OF EVERETT-WATER DEPARTMENT APPLICATION FOR WATER All blanks must be filled In or crossed out y Everett ....... •.: �......z........__. _. 19: '.', TO THE SUPERINTENDENCITY OF THE AEVEE R DEPARTMENT: I hereby a ly for the use of water in accordance with the rules and regu- lations of the Water Department, for purposes and fixtures slated 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 wi.. not be required to furnish ply may thus be the cut off9or be lisucableforanycdamnts ages foroitsufailurewhose so to do. Application No ....... Block....................................... Lot........ lJ....._................... Add::,r...r.t..�....s_.c:.Z...... No .......................... i S .�X ! Qr ......street The work to be executed by ... .... ..................... ..... _.... _ .......................Plumber Slate size of tap. o >' i,Tap to be Insetted in the ma'.n. .....Water closet .. /..:. ...Bath ................Urinal - faucet Inside ( ................Plain ................Side walk washer r.. ........... ... Hose bib outside bib for building purposes �• " ' ...............Hose ..... ........Hose bib inside for stable containing. .................. stall. ;, ,., ...............Bib __........... Number of persons In family -•'•' A. .j..�......Number of rooms In building '• The premises are to be used as a _... ... - The owner of the promises is - The aget.l is....._.. _ of Waternot irl the City, until accepted bypthr Superintend n11 the ln Department, Depa Applicant Accepted........ 19._.. By. _. Superintendent.