Laserfiche WebLink
/=�7•�� .i'_ 3 - ' ' . ' �' , , . �. _...- . <br /> ' ' � c, �r,�' ' �, <br /> IW. D. Form 1 I500 J.I-I1 G.P. �'� '` <br /> ; ClTY OF EVERETT==Water Department <br /> Application for Water <br /> � All binnks must be f in or crnsscd oo� n <br /> ifiLfifi�J� � _19Y.1=-' <br /> F.cerett.._"__ '___'__"'."_'_..._'___"" <br /> TU THE SUPfHIV'I'ENDIiN7'OF T�YATER DIiPARTMEN7'. <br /> C17' F GVGRETT: <br /> I hereby apPlY f�r the use of�.'ater in aceordnnce�cith Ihe rules anJ regula� <br /> ti�,�ns n(1'he 1Vater D�parnn��nl. for purP�ses and fixtw'e,s[ntcd 6clow. <br /> Iluring the time that:iny u( �hc��•nter mains may be taken uP b)• rca�on of <br /> :m7' iinp:memenls authorized b�� lhc Ciq�of 1?vcrett.in nr of any slrcet nr allry in <br /> which they mn5' have 6ecn IaiJ. thc Cih� ���ill no[bc nquired to furnish waler during <br /> the pmgress af such improvements m any cmivamer �rhnse �u��iy �„ny ihus»���,e <br /> o((. nr be liablc(or any�darm�aK�s (or its failure so tu dn. <br /> Appiirnl'tOn Nu...J._.l--.'��'�-''--' <br /> ,-.' �- '7�_._.Add."'__.._"__'___.._ <br /> 131ock ---�-'- -----I.nt---'-----'--'---- <br /> L�a oLS�_ .�_�___.'_"'__Stree[ <br /> Xo.---'- '-- <br /> '_"_"___"____."' ' _'_._"_"..__.___..'___'__.___"___'_____'__"'.. <br /> 7'hc work lo bc esecutcd by-----'�-'-'�-----'----'------- Plum6er <br /> sc,i�/5µ���t�,�. � <br /> ___�/_y'Cnp to be inserteA in lhe main. � / � � <br /> _____�_._Wa�crcloset � � <br /> -'---�----13ath <br /> _".'.__ .Urinal-- <br /> _""'�__.Plain faucet insidc <br /> .-"-----SidFwxlincas}mr— C.,1 <br /> _____/__._Hose bib outsidc <br /> i <br /> _"_"'__ nsc_biia(urlwikiirt�parTm�- � . �\ <br /> 1 <br /> "'"'_""_.FIUScL+b-�e�xl� � .� <br /> _-{;ilatwc�ta4le-cnivai�un{t-----sMt--'___.i�'� <br /> ___._.�.^"'Numbcrot pers�rns in tamily ` � <br /> ___'!J_._Num6crnfroomsinbuilding . <br /> 'Phc premises are tu Le used ax a_ �t��F�e`-'7 <br /> The mvner o!the premi�es is <br /> Thca�entis __'__ .'-_'__ "_____"'.""'_..__'_'. .'__' <br /> This applicatian, :dthough signeti.shall not be 6inding upon the City� until ae <br /> cepted by Thc Superintendc af th/e Nnter Uepartment. / <br /> SiBned�.(J��J�y4-.f<(-_.(�LiO---- --------APPlicant <br /> AccePtcd ---- � � --191 Ry--------�-----' �--- ( <br /> ;{-""�" " _""Su:erlmend-m <br /> (. " �' <br /> —� . _ ... _. _.: <br />