Laserfiche WebLink
v✓.afea%d7•JJ"E -.�.��c,w�" l.{-__� - i` �'`� <br /> _ _ - � <br /> W.II.Form�-7600-8P.Co.-S-26�21 <br /> City of Everett�Water Depai•tment <br /> APPLICATION FOR WATER ' <br /> All binnlcs must Uc fi9ed in or crossed out <br /> Bvcrett................._... . .... ....d�.��...........79'L�.% <br /> TO TIiE SUPSRINTENllENT OF TIiF. ZPAT .I�PAIiTDStiN'C: <br /> CITY OP El'll'.ETT: <br /> I hereby aPP�Y tor tfie use of n•ater :n accordance a•ith the rulcu nnd regu- <br /> Intions of the Nater Department, for Purro=es and fixtures slated bcloa. <br /> During thc timc thnt nny of the w•nter mains mny Ue taken up Ly renson <br /> of nnv im uovemcnts nuqiorized by the City of Iicerett, in or nf any slrcet or q ;�i y�� <br /> alley in a•�icL �Lep may hnve been lai1, thc City will not be required to furnish � <br /> 4 � <br /> w•nter during the Progrese of such iuiproerments to any consumer whose eupplY <br /> may thus Ue cut otf, or be linblc far sny dmm�gce for ils fnilure ao to do. "^i� � .�, <br /> Application No... . . . -... ........ Add. ........ ..... .......... ._ � . .4: �,�7,� ;F ;' <br /> �� �.�........ �-; <br /> ' � i � E: � ^ . .............. f�� <br /> Black .._.. _� ' r ...!_�'� QQ�D. L��ot.... . � � <br /> No._..2��Q �ihC..- .�...... .Street ; ` . <br /> .��,�.. .? k }.., <br /> .......... _............ ......O. .. .. .. .... ... ..... .. . . ': <br /> J <br /> . .�qri.1:.4P�lumbcr ., � � �,�,r <br /> The wark to be executed by.. . .. .. _ i. .� . . -.. i ��, <br /> State size of tap. / ���' , �r^� <br /> ..�y Tap to be inseded in the maia U °,/ �� c`��';' ' <br /> . ... y? <br /> ......... .....Natcr cloaet �� �\� � II; <br /> ................Bath � � � 4 <br /> r, v� ,. <br /> .............Urinnl �b 4 <br /> ................Plain fnucet lnalde � �'� � M=' � `;� '�r �. <br /> .. ...........Sidc walk washer . ' � , <br /> . t <br /> � <br /> .. _..�.....13oae bfb oul=ide . . ' �, � � �f 4,gi ' <br /> ....._Aose bib for building purposee � �� `� ~'- <br /> ... ���; � � � � <br /> .............._iiose bib inside � '�. . ' '�' � .: ' . � <br /> ....._.........Bib for stnble conlaining....................etall............._..... <br /> ................humL:e of pereons in fnm{ly <br /> _.............NumL.�r of rooms in buildin ������ <br /> The prendees arc to ba uaed as n...�, �.������- �7p� �y <br /> The owncr of the pr�r�/',7ae, in.. � _`IY�r�rC7'L.+TZL.6'� <br /> Thc ngent is..........Q�'.r..Q..e.. .. .. ._. ... ........_........ ...........�..._...... <br /> This npplication, nithough Figned, shell not e binding upon Lhe City, until <br /> nccepted by lhe Supednlendent ot tt,e Wnter D�e/pn/r,�nent. <br /> Signed............. ......�r.....�. ..�,.(.rC�./�'q.�i�J....Applicant <br /> i <br /> _ � <br /> �/ > <br /> �ed....'1�....��.,..'.�,�,�........1D2...... By... ." .... ./.'f�........................... <br /> f= Superintende <br /> � / <br /> .. ---- -- -- -� - ---- -- - - - -�. —� <br />