2825 90TH ST SE 2018-01-02 MF Import

I. 1 11 W. D. Fo.m 4 CITY OF EVERT -:TT -WATER DEPARTMENT APPLICATION FOR WATER All blanks must be filled in or crossed out Everett, ....................... r..�-x.._r....... ......... . .........1g�'. TO THE SUPERINTENDENCIOF OF XWATE R DEPARTMENT: regu- lations of theaWIter D partment, forer In purposes and fixtuFreslhe statedebelowregu- During the time that any of thye water mains may be taken up by reason of Ilinn whrovements ich they may have been laid, the the lCity will not be requireor of d to furrd h playtmayuthus the be curt off. or be lisucable foraements to 81 any damages for It consumer a so to do. -/lam 7F�..... Application No ..................:.......... ��jj ... Addi). {i'••`•e'`� ....... Block........................................ Lot....... ,.%.................... ........ cQ :...........strut .............................................. ......_................... .. The work to be executed by .......................... ...._ .......................Plumber Stale size of tap. �y.....Tap Inserted its. the main. .. .....Waterr closet .....Bath ................Urinal ................Plain faucet Inside y? 7� J ................Side walk washer bib outside City ATE ................Hose i1 ' ...............Hose bib for building purposes i �9 bib Inside ................Hose ................Bib for stable containing... _-............ stall ..... ... ........ ... ................Number of persons In family ................Number of rooms in building The premises are to be used as n _....-..._.._..------- - The owner of the premises is .... ..--................... . _.. _................. .. is The agent atio....___ the City. until This application, nllhnugh signed. shall not b coding upon t m Wat D" a�tpent. accepted by the Superintendent Signed.......... _ ....... . .... ..L::4.�I _...._Applicant Accepted ....... ........._...... ................"to .....6uperintendent.