313 73RD ST SW 2018-01-02 MF Import

W. a. form I CITY OF EVERETT-WATER DEPARTMENT APPLICATION FOR WATER All blanks must be filled In or crossed out Everett................. ............ .� ...✓..... TO THE SUPERINTENDENT OF THE W�DEl�TMENT: CITY Or EVERETT: I hereby spply for the use of water In accordance with the rules and regu- lations of the water Department, for purposes and fixtures staled 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 sup• ply may thus be cut off, or be liable for any damages for Its failure so to do. Application ......... Block........................................ Lot ........... '-._.......... ..... Add........................................... No ......... sti —c-d ...... ............ .................................................. _................................................................. I............ The work to be executed by ... ..................... ..... ... ...................................... Plumber State 31ze of tap. ...T...9v..Tap to be inserted In 4in. _.........Water closet /...:...Bath ................UrinalOL ...............Plain faucet Inside ................Side walk washer City of [; c �. ................Hose bib outside WATER d7:r0 ... ............ 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 ns a ... __. _._. ...... The owner of the premises Is _.. ... The agent Is ....................... - __....._._... ...... This application, although signed, shall not be binding upon the City, until accepted by the Superintendent of the Water Depnrlinent. Signed....".1� �' -.__......... Applicant Accepted..._..... __....................19....... By......... ....... ....._._............. I...................... Superintendent.