Laserfiche WebLink
".'1 <br /> I <br /> . � io- �- :�, ;i.' <br /> �-�. � _ . <br /> . W. D. Form a I500 J-0.17 C.P. <br /> C1TY 0� EVERETTr=Water Department <br /> Application for W ter <br /> All blanks must 6c fiIIcJ ' -or rossed ou <br /> ,Ci <br /> Evcrett.____ .�____.'_ '/_�. __'_'___19l_� . <br /> TO THE SUPGRINTENUIiN7'OF THE 1VATER UEPAR'IA1ENT, <br /> C17'Y OP BVtiWiTT: <br /> I hereby apply fnr the use nf water in accnrdaace a�ith the rules and regula- <br /> tiuns nf The Nater Uepartm_n4 (or purposes a��d fixtures stated beluw. � <br /> Uuring the timc lhat any o(the water mains may bc takcn up by reasnn of <br /> any improvements authorized by Ihe City ot Fvcrett,in or ol any hlrcet or a'Iry in <br /> w•hich they may have bcen laid,the Ci�y wiU not be required tu furnish a�aler r.��inq <br /> the pro{�ress o(auch impravements tn any consumer whnse supplV map �hus Le cu[ � <br /> nft,or be liahle for any/�damages(or[its�j��lure so to do. . <br /> Applicntian Nu._../__/.�'_J_._._ <br /> IIIncA __-`'''--' -_._.I.t�t .'_�-: . �� .._ Ad<L---.--.._'___-" <br /> No..._�_�_�_� — �-(�z� Strcet <br /> -- ---- <br /> ---'---� --'-----' . '----------'--'__'--"_"-------'--..---'-"-._.. <br /> "fhe x�nrk to be executed hy..________.__. __ Plumber <br /> -__'_._________., <br /> � <br /> Slale�euf lap. . .-. � f b `/ �� <br /> � �Ta to be inser�ed in the main. ✓ <br /> ��_" � <br /> P /� d <br /> _"'_ .__\Yatcrclosct - o�d � <br /> _"'�_.[3ath . .. . <br /> i l' � <br /> "__"_" .Urinal '�F �'V`-h\`� <br /> �/ �,�/� <br /> ______ ._.Plain faucetinsidc ! 1 t <br /> f\ <br /> ___.______Sidewalkw:,sher �j �' /�� �.�����j��� , <br /> N . <br /> """"._HosebiboWsidc � �•—�,�1�•� <br /> ""."_._Husebibforbuiidinqpurp�ses (J�•,� 1 ��� � <br /> __"____HnscUi6icsidc I y <br /> --'---_'-Uib(orstablecontaining.-----_._-stall_-, _ �t�r �� <br /> P � <br /> i�, <br /> ____ _.Numbcrofpers<msinfamily <br /> _' <br /> __..�__Number ot mnms in buiiding I <br /> .:.:. Thepremisesare:obeusedasa__'_..__'___'_'_""'_"""__"'____- <br /> "_"• <br /> _���� 'The ownern(thepremisesis ____'________.__.__,_'__'___.. �� <br /> �ILa "_'___'_'"" <br /> "YF Thea6entis..____.___ �... _'__'__-____ ' <br /> applic�tion,allhaugh signed,sha;l nut bc binding upnn (hc City, until ao � <br /> rn�s����rini�na� d the 1Vo[cr Depa i nt. <br /> Signed_ el�C-�Y�f_��'_'4pPlicant �� <br /> Accepied�_'f_.__"7� 1�� � <br /> ��. _ _'__'______'_-___'_"_"_ i <br /> ' sup:etimendem <br /> �i <br /> � _ __� <br />