Laserfiche WebLink
'u.-�� �-�t �,� ,�- �.�.�-� N-S--���- ��� . <br /> R'.U.Fo•m 1—1Lao—F..P.Co.--L-26-1� ' <br /> City of-Everett�--�Water Depai�tment <br /> APPLICATION FOR WATER <br /> All Ulanlcs nmet be filled in or crossed out <br /> � .. <br /> ���i�tt._.._. ... .. ..............�...,,.................is2.`L.. <br /> TO TIiE Si1PERINTENDI9NT OI�' T[�F. ATh:R DEFAP.T.�iCNT: <br /> CITY OR EVE12L•'TT: <br /> I herrLp aPp11' for the uee o;w�aler in uccordance witli the rules and regu• � <br /> lations of the Nater Depar.ment, for purpnses n�d fix!mms stnted belaw. <br /> Uuring .lie Limc that any of thc a�aler maina may Uc taken up Uy rcason <br /> of nnp improvemcnts autliorizcd by ihe City of 13cerett, in or af any streM or <br /> nlle3• in ��hich �hey may huce bcen laid, the Ciry ivill not be required to furnish <br /> �cuter during the progress nf such imprm�ements to a::y consumer whose suPf>>Y <br /> m:�y thue be rut off, or bc liaLle for :.uy damagca for i's fnilute ao to do. <br /> Applicatiorn� No._._.l.�..C�..2......_... '�il��t. . <br /> Bluck...............1......._............. Lot......�......_............_._... AJd............. ...._..__.__..... ..... <br /> 6 6 �2_ <br /> xo._2.$.�......��........................strc�c <br /> __......._._.... <br /> ' 7 <br /> _ ___...__........................._.._._............__... ............ ......._._. ..... _............................. <br /> The wm�k to be execuLed byGf.`�.�-C'r�'�..-�........_.....Plumber <br /> �tatc size of tap. � �� <br /> r <br /> ...............Tap to be inscrted in the mnin. Z <br /> ..-...........R'aler doset � � '� �� �/J <br /> .-...............Bnth � � <br /> ................Uri nnl <br /> ....�.......Plain fnucet insidc <br /> ...._..........Side wulk }csshcr <br /> .............Fiose biU ovtsidc <br /> . ...........[ioso Lib for building purposrs <br /> __............Aose Lih inside , , <br /> ...............Bib for slable contnining......_............aLall............._. <br /> .... <br /> ............:.Num6er ot persons in family <br /> :�........_.._NumLer ot roome in buiidin� ��� " � � " � <br /> The jliCOl1FC9 are to be used as e.73'2c�cr:l..�.c.S..µ�.-�tt..�..t,1•� <br /> .............. <br /> The owner of the prem�is� is......._.. ._..........._....__......._._..................._............... <br /> ThcegenL ie.......�..Gr�.,.. ....... ........_ .�„`....................._.................. <br /> This npplicntion, nithough sign::d, r,hnll ob be binding upon Lhe Ctty, until <br /> necrptrd by Lhe Superintendent of th� �Vnter Depnrlment. <br /> Signed.......................Q�J�..O.-..�J.tl�.o�cilil/L.�. pli <br /> Accepbed.-..�-.r.v'4.. ............197.� By...��lGYG��/✓y���=e��� <br /> � ' ent� <br /> /� <br /> \ <br />