Laserfiche WebLink
ti.�..xd % 28 � 5- r7i . �^�-''�-�.d� ��-� Y-7S L'�7i, <br />W. D. Form 1—I600—E.P.Co.-6•26-".1 � � � <br />City of Everett^--Water Depai�tment <br />APPLICATION FOR WATER <br />� All binnks must be filled in or crassed out <br />� � ..........192...�.�..-' <br />Everett............._... ... :��.. .. ..... o�..,%... <br />TO THE SUPERINTE.NDENT OF HE ATER D RT\4ENT: <br />CITl VEli�TT: <br />I ha•eby npply for the use of w•ater in nccordance with the rules mid regu- <br />lations oi the Wnter Department, for purposes nnd fixtures stuted below. <br />During the time that uny of the water muins mny be taken up by reason <br />of any impr.rvements autl�orized by the City of Cverett, in or of any street or � <br />alley in which the•, may have been 1¢id, the City will not be required to furnish <br />water during the progresa of such improvements to ¢ny consumer whose aupply <br />n� �a..�-..�:�:::::::.. _ ................. 7� �. to do. <br />m��y t us bc cut off, or e ia lc for uny damages for its fnilure so J� ��LL� <br />A licntwn No........ <br />Block ............. ....... . ......... Lot.... Add... u.'� � . ............ .... <br />No.......,3 . `"�D.J�_......��e�c�-�J..........Street <br />_ ....... ...................................................._............................................................................ <br />TF.. �vork to be eaecuted by... .J.. .�.:.:....._... .�.b'....._ ..__......._.....Plumber <br />State 'i/ze of tup. J�"�^ <br />....:�y Tnp to be insehed i the mnin. <br />....�_/...NntrT Closf2 <br />...�..........Buth ,/'':. <br />` �.. <br />................Urinal � <br />...�.........Plnin faucet 'nsidc � ' � <br />......-.:....Sidc walk wnshcr <br />....�.........Hose bib oulside <br />....._'-.-.._Hose bib for building purposes <br />..... ........Hose bib inside <br />..._�.-......Sib for slaLle wntnining ...................slall.................... <br />......—.....Number of persons in fnmily <br />�.......Number of raams in building <br />The premises are to be used ns a......__ ._. ���[,L,�,.��j_ <br />The owner of t6e premi:+es is..........L.�.'.�_..:......:._�_0. . ...... ............. <br />, <br />Thengent is ....................--........................___............... .�.........�............. <br />This applicntion, nithough signed, shyll.a2i hn b�:�ui.ig upon Lhe City, until <br />nccepted by the Superintendeptyi�kl�e'wuter Dea^rf:rxd. <br />