Laserfiche WebLink
� � rli.,r�jJ-2(, -:-a- 1./'T <br /> . ,+ • <br /> W. D. Form a 1;00 J-I-17 C.P. <br /> CITY �OF E1'ERETT==Water 'Je�artment <br /> A�pplication for Wate�r <br /> Ail blanks muft bc filled in or cross nut � <br /> Gvcrett,�//�G-_!_��r�.--.� v-�� _191�-l1_. <br /> ___"/' <br /> TO THR SUPF.RINTENll1iNT OP'fHE WA1'GR DEPART\18.�'7', <br /> CII'1'O� F,VERE7'7': <br /> I here�iy apply fnr the uce of water in accnrdance��LLh the rules and reguia. . p�:J� i. <br /> tiona o(The Water Depar(m•nt, fnr purpoves and fix[urc�statrd belo�v. _ <br /> During thc timc that anp o1 thc n•atcr mains ma�-be t.�ken up by renson o(. <br /> :nrr improvements authnrixed br Ihc Ci1v uf E�entt,m c r o! any sircct nr allcy in <br /> �rhich thrY�»�S' havc been laid, the Gl1'aill nol be requved lu lumish u�ater during . . ... <br /> the�roqress n(quch improvements m any comumrr w6ose supply may thus be cai � � � � <br /> �dt.o:be liable for any damages (or its failure so to do. � , ' <br /> �'� .' . /� . , � �,. <br /> A �I' 'a ' c�i O . , <br /> irnli n o <br /> '. <br /> PI N .__'---- " ----' ���,�p <br /> I31ock ._� L�+ g .. . .Lut , �. � �'y /L CE�� . .. ' 4 <br /> /�, � { . ." ' _ ..Add',__' �_ . .,. _�.,- . <br /> Na: �"��17�_'�C'7 ..�$$_�� . _...Strect � .. . � � , � <br /> '___"_._._.___" ' ___""'____'___._'_____.�__-"___"'_'___"_"""'_ � . <br /> "Phex• rktobecxennedby_______"_'_".'_______'__ �,/-'7Plumber .� - <br /> St /s/izS nt tap. ��---d%C/ .}��/V7l' . , . <br /> 7 - Tnp to Ue inscrted in the tnain. `7y�� / . G� , . '�� �� <br /> . . . 15'nter doset �'` `�.� —� - . ,(' ' . ,.i <br /> '___'___ Uath � ' ' . . . '.�_ __�,f'' � � <br /> I u <br /> - -- .Urinal ���\, ' !�•, .',�i <br /> . ' . .1'lain lnucel insidc y"y,• ` "�h��`` ... � ' ''�.:� ' <br /> - -Sidc w�alk wnshcr /� �l � `. . <br /> ,;�K� .. + ` �r V� p�+� 'I k <br /> " 1{osebiboutsidc �. 1�)(��1�1r'! � .. . �.�� �` <br /> _ _ _8ose bib far buildin p / , � <br /> 6 Pur ases rl_`l1 ' i . ':., . � .�. i, <br /> � t', <br /> �� ' �,r� <br /> "_""___Ilosebibinsidc t a�� 11 �•.� � . . � r�,_ , <br /> "� � . , .+��, . <br /> """"- I3ibfnrstaUlecontaming . --__. �IL �4/ . '� �,,I <br /> � �� � Q/ 51 <br /> . _ Numbrrof persuna in faiuilY � �// ' y �� `�,a�� � <br /> Numbcr of rooms ro bwldmK \�� .s�- . ��.i,e.!, `�� <br /> x <br /> :..-;,;';�::��J��'�i�� , <br /> ThePremisesarcln6cusedas;�_________________'_"' "_"' .. -• :l�h,�. . <br /> . _' "_""" ��,. $ . <br /> The owuer o[Ure ryremises is ..___..._ ._'_ �"�* � �-_:'�. � <br /> .. . .._. .. . __ . <br /> '_'__"_ ', rr.a:+� <br /> 'Chca{.entis ._ ' __'._._. ' ____ ..'_' _.__'_.' " ' _'_ '`� x'�I�� <br /> This :�pplicalion.although signrd.shall nnt bc binding upon thc Ciq•, unlil ao ��:. � <br /> cepteJ by Thc Superimendcnt o .r S a�ttnrnt .' ;,' � ' <br /> n a .�?x <br /> � '� � Q�p / ��i�1y � <br /> Signcd -""� __.. ` �=[t . �V } .Applican� ��d i <br /> ', ' ` <br /> Acceptea_'��_.'�!� �]�3� It� �'.� ' - <br /> f � <br /> G.'`�x�^-�-- -- � _ . z.�+ , <br /> _ t �. . <br /> � YJ � � �:etlnlendeN - " .^Y . <br /> t.�l/ � ��///z_d ` � . . , ' <br /> � <br />