Laserfiche WebLink
� <br /> I <br /> ; <br /> � <br /> _ . - � , • <br /> -�L-d! .y-`(_ :.; i.��, <br /> 15'.D.Form�-16C0—EP.Co.-6-6-RI V `^ <br /> City of Everett--Water Depai�tment <br /> APPLICATION FOR WATER <br /> Ati Llanks must Le fiiled in or cros=_ed out - <br /> �f � � <br /> E�-�«cc................ ...........1....... ..... .�...................isz.. .. <br /> TO THE SUl'ERINTENDENT OR TIiP R'��TI3R D��P.TISF.NT: <br /> CITY OF EVEI:GTT: <br /> I hereLy apply for the use nf «'aler in accord�nee •a^th the rules nnd regu- <br /> Intions of the Water Depnrtment, for pmposes and fix:ures stated bclow. <br /> Dcring thc time thnt nnS of lhe watcr ir.ains mny he taken up by renson <br /> ot nny imprurements authorized by the City of Ererett, in or of nny street or <br /> cllcy in tvhicli ihey may hn�•e U��rn ]niu, the City «•ill not be required to furnish <br /> �eater during the pro�ress of nuch imp:ovements to nny consmver tvlmse snpply <br /> may thus Ue cut oft, or be liablc im� ;.ny damnges for its fnilure so lo do. <br /> _ APPlicntian No....�..`.J.�..�............... / �]� � <br /> Block................3._��....... Lot.........I...�:.-._CS..-..I.`Add......................_....._._....... <br /> ro._._/ 8�.�'.-�''-.3./.....�GL`'`.����c <br /> _.. __...._.... ._................ ......................................__......................_.. .._._ _........................... <br /> Tlro �eorl: to be cxeculed by...���.o_`�--_��;-��� jlumber <br /> Stnt aize of tnp. � . ,,�1 '� �� <br /> ....s'����....-Tnp to Ue inserted in the main. � �'` � �� I ��, t j <br /> ....J........\1'ntcr closel ' .'., ., ; � �• -. '��,`., <br /> ......-_....Batli 1.i7: �.� ,-'•�:�IET�f ilyTEfr I.::r"T <br /> .....:.:......Urinnl � . . ................5 x. ... <br /> .....�.._.... <br /> — ,/ <br /> ................Plain fnucet insi:.c y' <br /> ...._—.....Side �r�alk «•asher <br /> ...�c....._Elosc bib outsidc � <br /> .... .........Hosc bib for building purposes <br /> ................ITose bib inside <br /> ................Bib for stnble cantnining....................stall.................... <br /> ...... ......Number ot persons in family <br /> ... ...........Number o[ roome in buildin� /— <br /> Thc premises nre to be used as a....._�...,...:�.(. .. .._.....J ........_............... <br /> The owner of the premises is....�.ti�c%���:-:-?.::.._:_.o->.-..-ti... <br /> Thengent is.................._..........._..._._......_...................................................__.............. <br /> Tliis npplication, nithough signed, ehnli •mt be Linding upon the ^ity, until <br /> ncceP�ed by the Superinlendcnt of th ,V �r Depnrtment. <br /> Signed_..Y_.�./....,... ._f..._��.`:�� . Applicnnt � <br /> Aca:pled.._........................__ . 2...... Ily................f ....... _ ... . .................. <br /> �—�'. 2 � upermtendent ( <br /> . .... <br /> � <br /> _� <br /> ,;'� � ;. <br /> `, <br /> � :�. ; <br /> ax� � <br /> " ,�` 't�: <br /> � 3 k <br /> 2-i <br /> R # <br /> �b4 I �E�. �S•� �. . <br />