16 76TH ST SW 2016-01-01 MF Import

e- .. W. J, ro,m. CITY OF EVERETT—WATER DEPARTMENT APPLICATION FOR WATER All blanks must be filled in or crossed out i Everett,.._... .. _. . S.._..... ...._... ` TO THE SUPERINTENDENTOF THE EE WATER DEPARTMENT: CITYI hereby apply 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 im rovements 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,)r be liable for any damages for Its failure so to do. Application� No.. ((nn. ...".. Block...........�...Lu.......... pt Add. ...Street The work to be executed by.. ...Plumber. { Slate size of tap. I '3y' y'.: '....Top to be inserted in the main. .••/............Water closet {"..........Bath ................Urinalyy 1'x r: ,.i .....Plain faucet Inside . ' .....Side walk washer v yir/ ....'...........Hose bib outside jt ,l j X64 , .......... ._.............Hose bib for building purposes City d•i_cr'YcR' ' Hose bib inside ...... w,arni Drat. ................Bib for stable containing....................stall.............. .... - l4 ....Number of persons in family V._.....Number of rooms in building The premises are to be used as a....................._._........_. ........_ ___...... __.._......... The owner of the premises is.. The agent Is................._........... This application, although signed, shall not be 'nding upon the City, until accepted by th Superinle o the ater a ant. / �gned....... .. .......... '�i'-O/{•(J_ `__.....APPllcant __.._._................IB....... By.... ....... .....er'l*t'e'................... Accepted............... "��guperintendenl.