Laserfiche WebLink
�/ /�' ✓ � i '.� <br /> . . �. � . ` <br /> N-1600-41P.Co.--G-28@� ' ' . 1� . <br /> ' ;ity of Everett�-Water Depai�tment <br /> APPLICA.TION FOR WATER <br /> All binnks must be fiiled in or crossed out <br /> Ecerett,..........._........._�../�_.:-`.........................._1,94'....� <br /> TU TH� SUPERINTENDENT OR TIiF. \VATER DEPAIiTTfENT: <br /> CITY OF 73VERGTT: <br /> t hereUy npply fnr the u=e of n�nter in accordance a'ilh thc rules nnd trgu- <br /> 1¢tions ot the Water Uepnrtment, for pm�poacs nnd tiztures etntrd Lclow�. <br /> Dui.ng lhe lime thnt nny of the n•ater mains mny be taken up Ly icason <br /> oL nny impravements authorized Ly the Cily of �cerrtt, in or oC any strecL or <br /> nlley in tchich �hey mny hnce 6een laid, lhe City will not be req^ired to furnish <br /> water during the progress of such improvzmenLs to ang consumer w�hose eupply <br /> may thus he cuL off, or be linble for any damagcs tor its tailure 5o to do. <br /> Application No�._........��'�:._�........... ��7 ^ � � <br /> IIlock............p..................-....�...y. Lot............ ..._.. ..........._... Add..____. __....... .__._ _. .. <br /> No...._...�...O.c�_?�....._L°.ccL,�.:............ .............Strcet <br /> ................................__._.........._..........................._......._........_...._........................................... <br /> ' The a•ork to be executed bY................................. ...........__....__..............PlumLer <br /> Statc size of tap. <br /> �.��....._...Tnp to be inscrted in the main, n , <br /> n • <br /> ................R'nter elaset (��' ���'� <br /> � , <br /> ..._...........11¢tL <br /> ...............Urinal (�v / ��, <br /> ...............Plain fnucet inaide Vw' '� <br /> ................Side n•alk washer I �� ��. �� 'j�� � <br /> ............_.Iioec bib oulside �. ,aPrJ ��L�� �� �Jj � / <br /> ................Hose bib tor UuilJing purpoaes . ,,, 't�FT ' r���C�� <br /> ................liose bib insidc k%IT <br /> :fR pfA�� <br /> ................Bib for stable contnining....................etall............._. � <br /> .... <br /> .......Number of pereons in inmily � �� ' <br /> ................Number of rooms in building <br /> The Premises nre to Le uaed as a.. _._........._..._........._._..................................... <br /> �i <br /> The owner of the premises {e..-.'.:..� ..�L.la.S(.-�::,`�..-n.u�,.e_��-P:�.�.�..�It_n� . <br /> e ogent is.-------...........yi.....�. ........ �_�`R::9-A_-.._(,a..`.f,�*c.+o...�[na� <br /> / <br /> This npplicntion, nllhouqh eigned, ehall not bo binding unon lhe City, until <br /> nccepted by the SuperintenJent of ylh�e �Vote DepnrlmenC. <br /> Signed.........G.°/��....Y....�(�._..v..J..�i -.�!�.:. .....,,,py�licant�' <br /> A t - 1 � <br /> _ / / <br /> Accepted.�T-�..�.�..�....._...._...192�.� D9......�'�..�.... .......� <br /> S \ / <br /> \ <br />