Laserfiche WebLink
1 <br />W. 0. Porm � <br />CITY OF EVERETT-WATER DEPARTMENT <br />APPLI�ATION FOR WATER <br />.1II blanks must bc tillcd in or crossed oul <br />Evcrctt�...._.. . ..... . .�._. :. .__ ._. ....19.L._'_' <br />'PU TIIF: SUPt:RINI'F.NDF,NT OF TIIE WA7'ER UEPAR7"MENT: <br />CITY OF F.VF.RETT: <br />1 hcreby apply for lhc usr nf wnlcr in nrcnrd;mrc wilh lhc rules and r� C��- <br />lalinns nf lhc Wntcr Depnrtment, for purposcs and fixturrs slated bcloa�. <br />llurin� lhe time �ha� any nf thc watcr mains may be taken uP �5' ��''.'.i° <br />�d any imprnvements nulhnri/ed b}' the Cily n( Everett, in or of nny strr�•t ar <br />;�Iloy in �chich thcy mny havc hren laid. thc Citp will nnt bc ruquirrd to furui�h <br />v:.der during lhe Pm�;ress uf sudi irnprnvements lo am� rnnsumrr wlwsr suD- <br />pl}� may Chus bc cut o[f. or bc liablr foru.�ny �lamagrs for ils faiiure so ta do. <br />P <br />Applicalion Na_ ........._...______..... ..� : . ,' . <br />I;lack. ._._ ..__ .. _.._...... .. Lol . . __._.. Add_ ... <br />, , <br />�l � � �. <br />` . <br />No. �!.. i......._ . .✓c..._.�.�..�.1�....y�{_......... <br />.._ ...................................._...............___.......__......... .._ _._. <br />'Ph�� work to 6e execWed b}' <br />:;L���• sixc oC lap. <br />.1'ap ln bc insertcA in lho m:�in <br />_R'ntcr clnsct <br />Ilalh <br />. ...Urinal <br />.....Pinin faucel insidc <br />...Sidc w�ilk washrr <br />._lfose b�b oulsidc <br />..][osc bib fnr building purp������s <br />itosc bib insidc <br />_Rib tnr staUlc conlaining. <br />NumLcr of prrsnn� in famill' <br />.. NwnUcr of rnoms in buildin� <br />'I���� pretnices m�e ln Uc used as n_.... .. <br />'fl��� un•ncr o[ th�� prrmise; is .. <br />Slrecl <br />n <br />! <br />1'lumbor <br />st:i I I <br />-;./ .. <br />,1i � ''``_• <br />i. : �.._.. ,.. ..: � il _ �. <br />.�_.�.�� :il:rnl i5._.._..._.._ ... . .. .. ... . . .. <br />T!. � �.ralinn.:ilthnuph si�ned, shall nnl bc bindin� upon thc Cil)', imlil <br />.�� �, p'...t I��c� i�n SupenntonAont n[ the Natcr UeparlmcnL _. <br />! _' ' Y <br />tiLL;TI'(� �/ ._/ '.�. -_..._c(L....l.c�_.�v°r'�:.�.... ApR�.ant <br />•`.... . „ tn. Ili� . <br />' tiuprrinL:idrn�. <br />