Laserfiche WebLink
ti-.�.A�-�-c➢ l,_i�- � �,-. . �.�-� S - y-- �'(, I�in •� <br /> w.n.r'o�m a-ison-r,.r.co.s-xc�� ' . <br /> City of Everett�Water Department <br /> APPLICATION FOR WATER <br /> All bl:mlcs must bc filled in or cros=ed out <br /> Evcrett�............✓/�� . .....�................19:`.5.: <br /> TO TIIE SUYERInTIA`llENT OR THP \VA'fT•.�pI;TDIliNT: <br /> CITY OP EVI's1iliTT: <br /> I hereby npply for the u;n o[n��ter in accardnnce �vilL the rules nnd regu- <br /> Intions ot tae Nuter Depnrtment, for pw•pose:; nnd fix�,ures stated bclow. <br /> During the lime thnt nny oC thc tvntcr mnins ntuy br tnken up by renson <br /> of nn3' impiovements nu hori;.ed by thc City o[ ficcrett, in or of imy ytrcet or <br /> alleY in whirti thcy� m�p havc been �nid, the City �rill not bc required to furnisl� <br /> �vnter dm•in6 the progress nf such improvements to nny consumer wl�use supplp <br /> m:iy tLus be cub o[t, or be linUle for :my dmm�ges fur its fai]ure so to do. <br /> Applicntian Nn...���.5............... ` <br /> �/ 1 , <br /> Block........._�2...(...�._..............Lok.._......._.'.�_'................. Add..........._._...... <br /> /��� ....___........... <br /> No._�..�✓�i�.... ..c^�<"ULC��.... ......_....Street <br /> __....__.._...........................................__................................_..........._..._.._._.......................... <br /> The work to be executed by........._......� ,_ ....__.._....Plumber <br /> 6� _. <br /> Stntc size of tnp. .:�� � � <br /> .��!i-...Tnp to be inserted in the mni�, � � � � � �� �' ' <br /> • i . i <br /> . •�, � � <br /> .../......_.Nntcr closet �`'.- �. - ��� . ' . <br /> _ ,. C�;u ,.., <br /> Ciii i: - _� ,. <br /> — � � � r. Janr�r� u�e�r <br /> ................Bath i"I <br /> — � ��� <br /> . Urinnl -............ <br /> .............. / ...t.�.�,,,,�..,........,,..�. <br /> ...�.::......Plnin fnucet inside <br /> .......�—....Side �calk �vnsher <br /> ..../..........Flosc bib outsidc <br /> ...... ....._IIose bib for Luilding �im�poses <br /> .....:-.......Ilosc bib inside <br /> ...... . .....Bib for stnUtc contnining....................stnll.................... <br /> ....... .....Number of persons in fnmily <br /> .........:�.....Numbcr of rooms in building � <br /> The premises ure to be used as n��(/LR,�,r%G,�,t���,�, SL <br /> � � �...�....._.�� <br /> The o�vncr of tlic prcroises is..�,L`f!:/....S.C-�..,c�rr,��� ��i'��o <br /> O , .... <br /> Thengent is...................................................................................................................... <br /> Tl�is npplicntion, nithough signed s6n11 not be binding upon the City, until <br /> ¢ccepted by lhe Superint� cnt o��er epurtm nt. � <br /> Signed...X.......:.il."........r111;vtG t�^��-�-..w...�..�. .............APPlicnnt <br /> \ (/ ���F� CJ <br /> Ac.epted.....`.�C^:'...��.�.........-...192..�.1 By.... : / <br /> � • �.......................... <br /> � !`""-�L�� uperintendent <br /> l <br /> -r_�- - <br />