Laserfiche WebLink
/lf <br /> w.o. re�m� � <br /> CITY CF EVER[TT—WATER DEPARTMENT <br /> APPLICATION FOR WATER � <br /> All blanks must be filled in or crossed out <br /> Everett...................:f.F�.I.��...F........._................_...191-'Y <br /> TO TIiE SUPF.RINTENDENT OF THE WATEft DEPAATMENT: <br /> CITY OF EVERETT: <br /> I hereby npply tor lhe use o[wnter in nccordnnce with the rules and regu- <br /> ]ntions of thc Water Depnrtmenl, tor purposr.s nnd lixturrs stated below. <br /> During the time thal nny of thc watcr mnins �nny bc taken up by renson <br /> n( any imp rovements nuthorir.ecl by the City ot Everclt, in or of any street or <br /> nilcy in which lhcy mny havc bcen Inid, the City will not be rrquired to furnish <br /> water during the progresx ot such improvements :o any ronsumer whose sup- <br /> ply may thus be cut o[t, ar be ]inblc for nny dnrrages for ils tnilure so to do. <br /> APPlication No...��r/`� <br /> .........._......_. <br /> Block......._.............................. Lol._._._............................ Add.__.....................__....._.._.. <br /> Na....__..:..'.%/_?-.....LD ,"J...l.�.�7` <br /> -. ._ � ................................................Street ', <br /> . . .. ._...... ........... ...... <br /> ...... ......... ............ .............. <br /> The work lo be execuled by . . ...... ._ . ._.. . __... . . ._ .. Plumber I� <br /> Stnle size o[ Lap. <br /> ..'��....Tnp lo Se insrrkd in lhe main. <br /> -....._.......Wntcr cluset <br /> .._.._........Dalh <br /> ................Urinnl °� [�.-� � .. . <br /> _.........._..Plnin fnucet ineidr �^ ' " <br /> � a <br /> , ..............Side walk wnshcr ' ,� " <br /> Srn � < '�:�� ,ri <br /> __......__..Hose hib oulsidc ' ' � ' � l`: <br /> ���� pf� v 0 <br /> ......_........Hosr bib tor building purposes ' ' � �� <br /> ................i[ose bib inaide . . . '� - <br /> ................61b tor steblc coninining.__...............stnll_.. <br /> __...... ... . <br /> . ..._. . ....Numbcr of persona ln tomilp <br /> .. ... . _Numbcr ot roome in building <br /> The premises nre l0 6v used ns o_.._.._..._ _.... <br /> . . . .. . .. ... . _ . . ... <br /> 7he owner ot thc premises is...__ . _.. . ..._. . <br /> Thc ngent is..._ . .__._._ __. ._. . _. _. _ _ . . <br /> . . _ . . .. ..._ .. <br /> This applicatinn, allhnu!'h signcd, shall nol Lo binding upon the City, until <br /> nccepted by the Suprn t� Jmt o( Uie W'(atrr Department. <br /> SiFned. /��- `.'`� .. �7.�... �.Z_�..t �C `:.1... <br /> .. ... ...._.._Applicnnl <br /> Accrptcd .... . . _. <br /> _ _ ... __. 18..._.. By.. .....__.... ... <br /> _ ._.......... ........ <br /> Superinlrndent. <br /> V <br />�- <br />