Laserfiche WebLink
�.-���,—�.. l!— `�- � 1 R l�. �,.--_�,_t,�� — . � ' s I �'�-✓'� <br /> «�.n.ro�m�-�cno-e.r.co.-c-zss� <br /> ..City of Evcrett�--�aJater Depai�tment <br /> APPLICATI�JIv FOR WATER, <br /> AlI blanks muat be fiiled in or crossed out <br /> Et•erett............. !t,-•_,-.+.-- j- � .........._I�2�... <br /> . .. . .......................... . <br /> PO TIIP S1JPlR1:QTfi\�DENT pg , �'ATER DBPA::1'LiEKT: <br /> C1TY OF EVEI2I:7T: <br /> 1 LercUy nppiy for the vse oi�t'aler in ac,.rjance ���ith the rules and regv <br /> letions of lhe R'atcr L'epartment, for pmposes iicd fistures stated bclu�v. <br /> During t6e time thnt any of thc «�ater n�iiis may be laken vp bp rcason <br /> of any ir,:prnvements authorized by the City o[ l:ccmrit, in or of �ny �drcet or <br /> alley in ���hieh +hcy m�y hn�•e bcen lnid, ihe City will not bc required to furnieh <br /> wnter duriig Lhe progresq ot such improvements to nny consumer whose snpply <br /> nay tlius bc rut cft, or bq 1��for 3uy damages for its fnilnre sn to do, <br /> APPlicnlion No......0��...................� ? � 9 8 <br /> _. Alock..............�..�..�... Lot._.............� . Add.__..... <br /> }'� ................ _. ........._. <br /> Na...a...r.�. _U ..�7..........l.,✓..��L!c�._................Street _...... .... <br /> ............_..................._.._............_..... ........_........_..... ........._.. ..................._......_...... <br /> The work to be execu6ed by...__ __. .....Plumber <br /> SLate size of tap. ... .......�J� ��J .�GA/ ll' <br /> .�fy_Tap to be inserted in lhe roain. � � ��` 2 Y <br /> . ..��.... .Nater cloeet � `'-� (� �� � <br /> � <br /> ._..�......_.Dath �-,(, ;� j ���i� ,i <br /> ......_�...Urinal � ' �F Ey�4rFn bl�i <br /> -......�:....Plain faucet insido � - �,�_. <br /> ........-.._Sidc �valA �ensher � . <br /> ��....�........Ho�e bib autsidc <br /> --...—:....Ilose bib for build:nR �iurposes <br /> ........—...11ose bib insidc <br /> ......._" .�..Dib for stuble containing........__.......slall..........__...... <br /> -.._.._—..Number of persons ir. family <br /> �-�....�1�.......Number of tooma in building <br /> The premises ure to be used ne n.......... . <br /> � ��.. ........ .....^-�.._.............._.. <br /> i�. ... ....... <br /> The owncr of the premises i�.....� . / <br /> U-��/..�........_�...�� L'.C.?.-Z..Z.LGL�... <br /> 7'he agent is........_........_.......... � ' <br /> .............................'..................... <br /> .......................� <br /> . <br /> ���' aPP�kntion, nithovgh signed, chnll not be bindin v on tAe Cit+, <br /> :1 by lFe Superintendent of L�he �Na De�nrtmenti r 3 uatil <br /> S�gned.�.-.::..........C.�...�..'.%'(<-�!-f!L.LtiT�:. <br /> y ... ............. Applicunt' <br /> ���d..........1r_�.�:._.....102/""' By.__� .. <br /> . . .. .. ._.. ...... <br /> , ........ ___.... <br /> � p "�uperintc:iucnt <br />