506 92ND ST SE 2018-01-02 MF Import

W. 0. form CITY OF EVERETT-WATER DEPARTMENT APPLICATION FOR WATER All blanks must be filled in or crossed out Everett,_ ... <..I ;...... la. TO THE SUPERINTENDENT OF THE WATER DEPARTMENT: CITY OF EVERETT: I hereby apply 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 wale: mains may be taken up by reason of any improvements authorized by the t2ity of Everett, in or of any street or alley in which they may have been lai.+, 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 No, ............................. Block _....... .._...._._.._.......... . Lot L• _.. Add_: J.'r .e/6- r:" -�: w.,.._ Jtf.. No.. ..............- __ „!`..'.. .. ...... y ............... Street ._.... ................ ............... ._......._.............._.._. ___.... ....... ..._..._ _._........ - The work to be executed by.. _._.... Plumber State size of lap. i y. Tap to be ins, l.ed in the main i Water closet 1 L s d _.Bath ...Urinal O, _.Plain faucet inside Side walk washer j�l, t' r�A A Hose bib outside f e, 't _Ilose bib for building purposes Hose bib inside ..Bib for stable containing. stall ...Number of persons in family k . 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, shell not be binding upon the City, until accepted by the Superintendent of the Wntor Department, Signed.. _.rd.t..�.�.-...',2,1.<� _•_ �. _... Applicant Accepted.. 19.. _.. By Superintendent.