Laserfiche WebLink
� <br />, --, <br />--7,�.�� �Lr <br />: / — <br />W. 0. Foem 4 <br />CITY OF EVERETT-WATER DEPARTMENT <br />APPLICA,TIOI� FOR WA'TER <br />All binnks must 6e fil]ed in or crossed out <br />Evcrett ................. .....1... �.-....._ri. �..................1�J fl� `:� <br />TO THE SUPERINTENDENT OF TIiE WATER DEPARTD4ENT: <br />CITY OF EVERETT: <br />I hereby apFdy for the use of water in accordance with the rules and mgu- <br />la!ions ut the W:�ter Department, for purposes and fixtures stated below. <br />During the f.�,tre that any ot the watcr mains may be taken up by reason <br />of nny improven:ents authorized by the City of Everett, in or of any strcet or <br />alley in whicl. they may t�.ave been ]aid, lhc City wi11 not be required to furnish <br />water durino th�. progress of such improvements to any consumer wl�ose sup- <br />ply may thus Uc cut of[, or be liable tor any damages for its failure so to do. <br />Application Yo.....�f....rf�.rf�...1:...... <br />Block...........� .. Lot........ � ! J <br />�/ ................... �.l..l.�.�. ................ Add........................................... <br />The work to be executed by .......................................................................Plumbcr <br />Slate size ot tap. <br />, � r <br />../..._.......Tap to be in�erted in the main. <br />................�Vater closet <br />................ B a t t � <br />................ U r i n a i <br />................Plain faucet insidc <br />................Side walk washer <br />................Hose bib oulside <br />i <br />................I�Iosc bib for Lu:lqing purposes f � � — <br />��/H- �t! !o <br />................Hose bib inside � <br />................Bib tor stablc containing......'...........stall....��.���tlt]`L�j C�{3 <br />/ <br />................Numbcr of persons in family <br />................Numbcr of rooms in building <br />The premises are to be used as a ......................_............................................._......... <br />The owner of tlie premises is....._ ..............................................................._. _.._ _..... <br />Thcagent is ...................................................................................................................... <br />This application, although signed, shall not �e binding upon the City, unti] <br />accepted by the Superi� ent of t�ie Nate� Iyepa�tment. <br />lC'�.�lt��,,.� ! / <br />.�l�ed ..................:....... /�-l21,� - Applicant <br />. ................. . ............... .. . <br />Accepted......................._......._..........1^....... By.............................................................. <br />Superintrndent. <br />