302 73RD ST SW 2018-01-02 MF Import

W. o. F, < CITY OF EVERETT-WATER DEPARTMENT APPLICATION FOR WATER All blanks must be filled in or crossed out Everett..._ .... ...... .........._iZ_:_ i 19_,Y TO THE SUPERINTENDENT OFF THE OF E ATER DEPARTINIEN'1': CITY lotions of the Water Depfor artment, for purf water poses and fixt with reslstatedebelowregu- 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 water during the P ogress of such improvements lot any ot consumer requiredto ply may thus be cut off, or be liable for any damages for Its failure so to do. Application No ...... -......:....y........... Block_ ..................................._. Lol..._.. �� Add... `... _. i S ,._ Street ................ ............ ......... ................. .....___........... ....................... ........ ............. ..._.......... _.... The work to b.• executed by... - Plumber Slate size of tip. _ ................Top to be Inserted In the main. .' 7 �.... Water closet Bath ................Urinal [ ................Plain faucet inside [ , ................Side walk washer ................Hose bib outside .............._Ifose bib for building purposes ................Hose bib inside ................Bib for stable containing...................atoll ..... ,.... .._.. ........,,....Number of persona in family ...g.........Number of rooms in building The premises are to be used as a ..... - - The owner of the premises is - - The agent is _.. .._..._ _. _. _._. This opplicolion• although signed, shall not be binding upon the City, until accepted by the SuperintendfK�t�off the Water De(,paarrtme�nt. Signed..':.. W-'..w`�*� .........Appl Applicant Accepted ... ,.... _..--_.....19. ... By........_ ............ ...pe-r.........ent. ""��"-�" Superintendent.