Laserfiche WebLink
, , . ," l:, <br /> W. D. Form 1 <br /> CITY OF EVERETT—WATER DEPARTMENT <br /> APPLI�ATION FOR WATER <br /> AII blanks must bc filled in or crossed out <br /> EvcrcU�.. ... .. .... .. .. . ...r...' �.�. ._'. ... .._.19.�:` <br /> 1'O TfiN: tii'PI?R11'fF:NDENT OF 7'IIF. WATER DEPARTMEN`C: <br /> CITY OF EVF.RETT: <br /> I hereby apply (or the u,e u(w.�ter in acrordance with thr rules and regu� <br /> Ldions nf the Watcr Department, tor purpos�•s and fixtures statrd beluw�. <br /> During thr. timc that any nf the water rtinins may bc laken up Ly reasun <br /> of any imprnvemcnts authorizcd by the City of Everett, in or of any 5lreet or <br /> vilcy in �chich they mny haivr bcen laid, the City will not be r�quirca :a Nrnish <br /> �v.der durin{; the progress of such improvements to any coneamer whuse �up- <br /> ply may lhus bc cµt qtf, pr �er liablc for any damages for its iailure so lo do. <br /> / t/- .,J G <br /> Apphcntion No? U..'._'.':�f j ..__ . i ,' . <br /> . . , .. .! . '� ;� r^,r % <br /> 131ock . __...__._ .._ . Lnt .:�.�' . .. _.. Add4 ,/`..r` . _, ._ . . . <br /> '10 ^ � � = c <br /> ._ . ..cf./....�._.�. ._ _...�2..[5.. .. . . .,� {..:.a.� Slreel <br /> ._..._.___...............__ ....._..............................._......................_...._ _._... _ ... ._. .. <br /> 'i'hc work tn be execuled Uy. . __. . . I'lumber <br /> 5!:ilc sizc of tap. <br /> . ._�..Tap lu bc inscrlcd iu thc mair, <br /> ._.Walcr dosct <br /> � <br /> �a..... <br /> Bath <br /> �_.....Urinal <br /> � <br /> _.__Plaln Suucet insidc i ,� , - . <br /> , _....5.�c tvalk washer -.. <br /> ._.._Ilosc bib outsidc �'•� ... , - <br /> .....Ilnsr bib tnr building pw�poses - � � . <br /> .. . I[ose bib inside <br /> -.i3ib [or slnblc containing ri,!I <br /> ..'lwnbcr of percons in fam:l�� <br /> -. __Numbcr ot ruoms in buildinr <br /> 'I'iio premisca nrc tn bc used as n <br /> 'I�I�.�� uwncr of thc prcmiscs is._ <br /> .�..,�.�• ❑pcnl is.... . .... _.__._..._ .. ... ... <br /> . . . .._... .. . ..._. .. . <br /> '1'P,�.: �ipplic;ition, alLhou4h si�ncd, �hall nnt he binding upon the City. until <br /> ������p��.�� I hy the Su rrinlend�it nf thi� N'a(rr Depnrtment. <br /> //.,I � , <br /> Siv SI `�.. � ' .� � '..., .�. ._Applirant <br /> � <br /> ����'� : � li�. H�� <br /> Supi�rlNrndrni- <br />