Laserfiche WebLink
Fr.TP G-�y- � /,�v <br /> W. D. Form 1 I500 J-1-17 C.P. • ✓ � <br /> CITY OF EVERETT-aWater Department <br /> Application for Water <br /> � <br /> All binnka muat be filled in�o cro/�+ed out <br /> F.verelt.. ��-�....�-- /,-.�.'� _ � <br /> _.__ . ____"__'ISI ._� ' <br /> TO TH6 SUPERINTENUE�7'OF THE WATER nEPARThtENT, <br /> CITY UF EVERE7'T: � <br /> I hereby apply for Hm use uf water in an•nrdence with Ihe rulee and rrgula� <br /> tiune of The Wa[er Uepartmant, fnr purpnees nnd fixturee eteted below. <br /> UurinR the time that nny of the wa�er mainn may be taken up by reexm o( <br /> nny improvements authorited hy the C(ly of Everelt,in ur n! ony etreel nr allcy in <br /> which they may heve been laid, thr City will nut be requlred to furnish water dudnp <br /> the proN�ess of euch impmvemmte tn any ronaumrr whox eupply mny Ihua be tut <br /> nf(,or be liuble for any damaRes G�r ite failure so In du. <br /> U.ur.:l <br /> Applicntion Nn.'-' '-'- -_-__ <br /> � .__ �. <br /> iitr¢k�`--.- S�� U� � �J Aid <br /> ___-'".'.�-� _ y�_ "' <br /> /� ��( �� � ____' ____.. ..'_____.. <br /> No.._ � <br /> _ 7._.-_./<�?!;�!_�(/(/"'_. S.rrel <br /> '_.__'..._._...__."' . ___.'____._ __..._._._'_ _'__"_______'___._____""_ <br /> 'fhe work to be exrcuted by ____..______.' '...___._'____._.___ Plumber <br /> State iir n(Inp. <br /> .��J___Tap tu be inerrted in ihe main. � �j Q U_ <br /> --'-�.._.W ater duxt � <br /> '---1---.Ilnth .... . _ <br /> '���.��. ''" <br /> --_._.. .Urinel 1t� .. ��\ <br /> ---..._...Plain (aucet irmide U ,.J��^�� <br /> . .-_-_-Side welk waxher / ',��jiJ �` C\�. <br /> � .�J/ll/�� Pj <br /> _..._..._Nax6ibouleide I I .1( • � <br /> __.__.__Noaebibturbu(Idingpuryuses ` /\ P� �'�r� I <br /> ._...-.---Iloxebibinnide \L � � <br /> , �_____..Oibforntablecuntaining.._.__._.etalL__._�C�, � <br /> .--_.4umber o!pernunr in femily b �:� <br /> i <br /> .___.____.Number n(rnoms in building <br /> The premieea xrc tu be uxeA nn a. _ ____ ? _ - <br /> � /�' �f '__.'_' _'_'.. <br /> Thr nwner uf[he premfem ie ..�,-_.t.__:�/:.__._�!;V�/'��J <br /> _.'_'._'__" <br /> Theagentie __'__' . _._"_______" <br /> ... _ Y <br /> .'__'_'.""_'.._'_'___ <br /> Thie applicatinn,althuugh eiNned,ehall not be binding upnn Cil , untll ac� <br /> cepleJ by TheSuperimendcnt��f t�F� par <br /> _�— <br /> Signwl_(�.-.� _.__ "._ __ .. . � f�is l�"" 6 <br /> �""" -- Applicant <br /> � "'_"_"' <br /> Acceptr� �.? . �. <br /> C• ' ---'-'--'-Sv��enmen.teni.. <br />