2904 91ST ST SE 2018-01-02 MF Import

W. p f-n , CITY OF EVERETT-WATER DEPARTMENT APPLICATION FOR WATER All blanks must be filled in or crussed uut Everett,._._... TO THE SUPEpRpINTENDENCITY THE EVERETT DEPARINi F."• f. th he lalloI r bhe Waler Department, foc the use Of for purposes and fixtures vater in accordance �lstatedeb.:id lo� yregu- Durinppg the time that ony of the water mains may be token up ay reason alley in =ch they may have been( Idthe City will of not be requirein or of d totfurnish ply mayuthus the be ul off, or be liable forvanyedamages to for itsconsumer failure so to do. Application No...//`Z4`... 5.- .... .... . Block..................................... Lot..... Add.. ...._. ....... I ....... ..... . .._. Plumber The work to be executed by. Sl�a�.tee size of tap. // .J�...Tap to be inserted in the main. _.. .....Water closet ......Both B r i ._.._.........Urinal Orr1l� �' 7 „_.........t...Plain faucet inside � 4 , ...........Side walk washer l' o CV ry , L -Hose bib outside w�r6l, L)- -rott ...... Hose bib for building purposes �• B ,. ................Hose bib Inside stall ....... _. ................Bib for stable cnntoining_............_... .......... ` _...Number of persons In family S ............Number of rooms In building The premises ore to be used as a ................. -- The owner of Pie premises Is........... .. . .... ...... Theagent is.. ... .... ..... ...... ..... .................................. _.. This application, although signed, shall not be binding upon the City, until accepted by the Superintendent of the War Department. - �.. } ............ Applicant Signed.......... a ................................. . Accepted.........'..........................to....... By ... ......_..................Superintendent. I