5222 83RD AVE SE LINE 5 2018-01-02 MF Import

N r' �1 •m4 IRLO 3-I-17 C. P. ;1TV OF EVERETT--Water Department Application for. Water All blanks must be 1 Id in or ero.ced r\t G` ---------- TO THE SUPERINTENDENT IF. WATER DEPARTMENT, CI 'OF EVERETT; I hereby apply for the of water in accordance with the rules and regula- lien of The Water Department, for purposes and fixture, stated below. During the time 11W any of the water mains may he taken up by reason of any Improvemech they mints authorised by the Citv of Everett, in or of any street or alley in the progress of uchhaveimprovements tthe o any consumerty will whosewhose supply uired to Imay thus besh water rcut ng, or be liable for any damages for its failure so to dn. Application No.-_ . --_-- Block... __-...... Add -------- ----- .--_--.- No..__v-`„^- .._---y---•:-- -_.. _...Street .... ---------------------- Plumber __ ___________________' The work to be executed by -___----- - _-- -----••------------ Plumber State ise of top. �h .3�- _Top to be inserted in the main. --.__- Water closet -..--- Urinnl`-/ - ..... ..Plain fmcet inside [� --------- Side wilk washer .......... bib auleNe --------- How Hose tib for building purposes o .......... Hose bib inside .......... Bib for stable containing .-------- r •� .-__.--. _.Number of persons in family .-........ Number of moms in building The premises are to be used as a _.-_.... ......... ....... ...... The owner of the premises is _-___------ .... ..... ---- .--...._____._.___- The agent is _--- .--- ,_________________________ T' application, although signed, shall not be binding upon the City, until oc- eepte i y The Superintendent of the Water Department. Signed _ t. -----------APPlicant _-__-- - Accepted _ _ _________________ _ _ / �----�--_-"Iy�J � ByI,O-y�'f Suwnmmdsm