Laserfiche WebLink
_ � <br /> c <<-c,�' ,!3:�4— I� G.-�--�� �—.23 lR9 —/�, <br /> w.u.r��„��—�coo_s.r.co.—wzss� • - . <br /> City of Evei�ett�--Water Depai•t�nent <br /> APPLICATION F'OR ��ATER <br /> Al! Llanks muat be filled in or �rossed c�,;! <br /> Everelt........_.............�.... ....�...�..............._....1'J2..�%. <br /> 1'0 THE SUPERINTEA'DisNT OF THF. NAT*:R DEPAIiTniGNT: <br /> C1TY OF EVE7=�TT; <br /> I hereby npp;y for the u,c ot�vater m accordance�vith the rules �md regu- <br /> lations of the �i'aler Department, for r��pnscs and fis!ures atated below. <br /> of nnl'Iimp�ro�emenls autLar�i ed b�tiha City ofalnierett, n orkaf any��LrceD nr <br /> • ailcy in w�l�ich �hey may Luee Uc<n In:d, the City wiil not Ue r�quire3 to furnisli <br /> n'ater tiuring the progresa of ruch improcements to ¢ny consumer whose cuPP�Y <br /> may Lhus Le cut off, or be L'u67e for any damages for its failm�c so lo do. <br /> AnPlication I�o.....__�`!3 � <br /> ..............._.... <br /> aio�k....sy...?......._ _._...... r.or..._L..-.=':.................. naa... ..._. ..._.. . <br /> !� � � � _ ........__... <br /> No.......L.� �/ Street <br /> �.�t.�-�—�E..f. ......... <br /> ................................................ <br /> ............_.._ .... <br /> . .......... <br /> Thr ��rork lo be excculed by............... —2t�� �.. ................. <br /> ._.. _...__... ........_... .........Plumber <br /> . ......... <br /> �"�/t�-t/e size of tap, <br /> ;/���T.......Tap to be inserted in thc main. � <br /> �..........R'elcr closct �y <br /> :...............Bat4 ' "O.� �q • <br /> ........ <br /> ......::Urinal . �S' 'I��O <br /> �..............Plain fnucet inside 1 � <br /> � v <br /> ................Side wail• washcr � . <br /> �- <br /> ................Hose bib ovinid� <br /> _�-. ...Idose bib for building purposes � <br /> ................I7osc Pib insido � � <br /> ....—.::.:...Rib for atuble containing.................._stall.................... <br /> ����__.:.....A`umbcr oL pereons in family <br /> ---���-��-.....Number of raoma in buii 'i g <br /> Thr premises are to be veed as ..... ... " <br /> _ ._ ..............._.............. <br /> Th�e owner of lhe premises is....................... ........... . <br /> ....................... <br /> . .....................__.......... <br /> �$o agent is............._ .... <br /> ` ......................................... <br /> ........ ................. <br /> ............................. <br /> - .:e 'nrpP.cnt.ton, n]thougti signed, r,hell not be binding upan the City, until <br /> .�� Ly the �;uperintendcnt of the �Vater be attme� <br /> SiRned.__.Gf'��Zac... .. .. ......... . <br /> ���..................APPlicant <br /> �':��..:.`1.�....192...... By..... . .J.J' e��l� <br /> �/ .......................... � <br /> L ��Su{.erintendent <br />