Laserfiche WebLink
w•. r. r�„� � u�n .-i-i:c.r. ' . <br /> CIT�' OF EVERCTT�=Water Department <br /> �pplication for W�ter <br /> All binnks must 6�IIrd in� crossrd nut <br /> `� ✓ <br /> _- . <br /> •-- �1 <br /> fierrMt. _. _� ....._.._._` .. _ _.19f . <br /> T�) 'I'lIE SI;1'IiNIN'PHNhF.N"1'OP 7'lIH W.\TF.R DF.PAItT�tf{NT. <br /> t'I'I'1' UP EVGRIi7'T: <br /> 1 hrrrb)'appl>' (or Ihe usr o( rvatrr in nn���rdan��r x�ilh Ihr rules and reguln� <br /> .i ma o( The\Yalcr U,•pflrinl•nl. fnr purpnsex and listnre�s �Inird belaw. <br /> Uuring thc timr ihal anc ni ih� �r;urr nr�ins nay br talren up hy renwn nf <br /> anp intprnvrnicnls nulhnrizrd br Ihr CIe nf lil�rrrll.in ��r nf nny nircr� nr all:y in <br /> �vhi��h thry m i)' havr brcn I:iiJ. thr l'il��eill nnt Im nquired la lumc'h ��•ntrr •iurin�; <br /> thr Prugrrev nf such imVrnveinrnts lu a�.y runsumrr whusr �iq�ply may Ihnx :�r rul <br /> �dL �rt br liable for niy ia �u'�•s for ikte lailu/rr so tn du. <br /> r\pplirnli�.t N��.�V,��J <br /> I{Inck �,�. j�� /J Lol _ _. � . ..._.Add _. <br /> No.. /�✓�^'. 4�J LGPA��.._ .- --..Strrrt .. ..� <br /> .... .. _..... _.. __._. .. _ ....___ _.... .___... . .___.'."_' <br /> '1'he wurk �o bc rxerutrd by .. . __ Plumber <br /> $tAlrs'�ru( �ap. �.. . . . <br /> .�y9�:�p lo hc insrrlrJ in Ihr innin. .� /��`J <br /> ..�-.1Vnirr tin+rl <br /> "� . HnIL <br /> .. _ . . �{1ww1�� <br /> .��Plein fnucet insidc <br /> . .. .__SiA'-wnik-�c�sTir7- <br /> ..�__Iluse Lib autvide <br /> . ___ jl .,o i;� r...�.-��,x -, <br /> . . . _.11�mrLilrinnide-- <br /> .__ ...Bi6(urxtnbl�contnininK . . ,t:dl ... <br /> -- r-Numbrr af pera�ins ir� f.mily • <br /> _.`.��._NumLer of runn:s in buildi <br /> "1'hr premixea nre lu be usrd:�s a //��..n�_. . _ . e . ... __ .. <br /> (. .(.Q[^� !L"R!� / _ <br /> Thr meurf u(�hc prrmic�s is _ ..... ... . .. . (Yv • <br /> ThcaKenlis ..___._ ... _ . . �_... ._. <br /> . ._...._ . ... _.__. ..._ . ... _. <br /> '1'hi:� appiicntiun,al�hough nignrd, shali nu� be bindlnF upun Ihe �'ily, �ntil ac� <br /> .Acd i�o'1'hc tiuperinirndeN u(Ihc IVyy�r Urparlm�nl. <br /> ��� <br /> SiKnrd . �.�.l✓.�Z�r�'.1/._. . .lpplican� <br /> A�e. ��L-�.. � � 1 R � � � 1 <br /> /�-,.-�d r- �.%R��.� / <br /> ` . �u� �•�.�:.�, <br /> p •-7--- - <br />