Laserfiche WebLink
. �- <br />� . ' -�_ <br />- W.o.Fe,m. �5aa�-�-���.P. artment <br />CITY OF EVERETT-=Water Dep <br />� Application for Water <br />pll blanks must be filled in or crossed out <br />�� n . �j- ___191��- <br />7 -/"-- F-"'-- <br />Everetc,------ - <br />--------- "" <br />TO THE SUPERINTENDENT �l Y�� F E'A1ERE7"I' PARTMENT, <br />1 hereby aPP1Y for the use of w�ter in aceordance with the rules and regula- <br />During [he [ime iha[ any o( the water mlins may be taken up by reason of <br />tions of Thc Water Dspartment, for purposes and fix[ures stared be ow. <br />any improvemen[s author�zed by the Cicvµ''� not be requir d to furnishewateraduring <br />which [hey m�Y have been laid, the City <br />the proBress of such improvements [n any consamer whose supF1Y may thus be cut <br />off, or be liable for any dam�qes fnr i[s faiWre so to do. <br />�% pJ Q _- )'_'_ <br />ApplicntionNo..__-----� J "'_'_'___ <br />Block -'----Lo[----'--"-----'--- <br />_'_.Add.'__'.__'__ <br />..__'__'_'_' <br />"' . " <br />_ _.,___..Street <br />N�.----.H�-- ---� -- <br />-� ---- --------------------------- <br />------ . <br />- - <br />----- � _ plum er <br />'fhe work [o be execu[ed bY----------'-" <br />-----------'----- <br />Sgta�te size nf tap. � <br />"//(t_____Tap to be inserted in [he main. <br />7 <br />. W arer closet <br />-- __-'-__Bath � � y�� � <br />Urinal � <br />_ _..___._Pllinfaucetinside <br />_ _ _ _ _ _ _Side walk washer <br />_ _' _ _ _' _ -Hase 6ib outside <br />___. _. _ Ilose 6ib for building purposes <br />___"_ <br />..Hose bib inside <br />__""_"_Bib forn[able con[aininq.-'-'----.stail__'---" <br />____ ______Num6er �f persons in fam��y <br />________Nwn6er of rooms in buildinq <br />_"'__'__'_'_' <br />._.._. <br />The premises are to be used as a_--------------'-� <br />The owner of [he premises �s __---�- <br />'----'-'------- <br />----'--" _ -----' ---'- <br />The a6ent is.. _"_"_. __. __'_"__'_'_" "___"._"_" <br />-'__" ___"'__'___ <br />This apPlication, although signed, shall not be bindinq upon the City, until ac- <br />� cep[ed by The Superintendent o( the Wx[er Uep:ltmen[. <br />(� I �yt,� �� <br />. �j-� ,,L_ .'__' ____ Plica' / 1 � <br />'_"'_'____. , <br />Signed ____-____--- �. <br />���!�� X/� ;• ' <br />�" ��'�� 1�'" �: B}"• ��'"'�-"-""�Sup'erintenCent "' <br />AccePted _'_.i>_ _'_'_'_' it��.� <br />��.�_-_� 8 - � 1- - v� - � . <br />� <br />n <br />