Laserfiche WebLink
:-� <br /> � <br /> � <br /> 1 <br /> l�7Y"'1"TJ -/o_.7_ -i -� .L-� f__.��. y .:-.?^-�: <br /> • W. D. =rm 1 I500 ].1-I1 C.P. . ' <br /> ClTY OF EVERETT4=Water Department <br /> Ap�,_ication for Water <br /> All blanks must bc filled in ar crucsed aut <br /> EvemlL.__'_�� _ ��_�-__".__.19Y�.r <br /> 'fO 'PI1E SUPIiRIN7'IiNUIi\7'OF TF : VA' �R UF.PARTMEKI'. <br /> Ci7'Y OF G9GRETT: <br /> I hrreby apply (or the use of water in accordance wi[h the rules and regula- <br /> tinns uf Thr. Watcr Uapar[m�ent, !nr purywses and lixturea statcd below. <br /> During Uie time that :my o( thc�cater mains map hc tnken up by rcasnn of <br /> any irnpruvnnents authorizeJ be thc GIy u( Everett.in ur of any strcet or alic}� in <br /> �vhich[hcy maY have been Iaid, thr City �vill nut 6e requircd tn lurnich water durinF <br /> the progress nf such imprnvemeNs tn any cnnsurner a�hnse supply may thus be cu� <br /> of(. or bc liablc tor any d. ��ycs (nr ir.; failure so to da. <br /> ~� � �--, ,� ��-�x <br /> APplirnlion No._ "_ _'_"� _". . <br /> � ?'�-lUlock .. _' __ _ _._�Lot._._�'__ ...___Add_�,�_t.7'__'L!. <br /> / — [!/ ' <br /> '__" <br /> Nn..-- -���4=-- --=�t��-g��t-'G�� ---�'_"..S:met <br /> / <br /> __"'.. ..._. ._._" . ______._. _.___-___'___""'_-__-_____'___"_•'_ . <br /> The �cnrktobeezecutecl65'.._-._______' '._.._ _ __.__' Plumber <br /> Statc/,N zc u(tap. <br /> .-L___y.Tap to be inseded in thc mai�� � /� ��G <br /> � ___._�_..Water clnset <br /> ""�___Ilnth <br /> ___..___ .Urinal <br /> ---______Plnin fAucet insidc <br /> '_"__"'_Sidr walk �vashcr . <br /> _'_'_""Ho.c bib nutside <br /> "._"._._Hosc bib fnr buiidiug purposes . <br /> _________Huse bib insiJc <br /> __"_""'F3ibforstableeuntaining._____.._._stall_.__. ' _ .. <br /> -__' 'Numbrrot penuns in tamil}, <br /> ____�_Number a(runms iu buildinq <br /> 'Phe premisesnre[o bc used as a _____ _________.__._..._.._._._ <br /> . .___' '_._.. <br /> 'fhe owner of Ihc premises is .___. <br /> _____.___..____. <br /> _'_'"'___'""_"' <br /> 7'Le agrnt is ._"""'_'_' <br /> "__""____ '. . .....__..____...._.""""" <br /> 7'his appli[alion. allhnugh signcd, shall nut bc binding upon lhc City, until ac• <br /> crpted by'fhe Superiniendent uf thr {I'nter Deparlment. <br /> /1'/' -�� /D Q� � � <br /> Siqncd__Ll.,..Lj._ . .�(�'W. __ ___/--___Applicant / <br /> Acccpted. __ . ___]� �� By._ '1.. <br /> �?�- . . . __.. ..__'_""_'.__.. <br /> G �,��.s.,��.,����, � <br /> —�_, _�. <br />