Laserfiche WebLink
l <br /> � �-,_.�sn,�--•t— �i—.., _ ti�a �a�-. .. <br /> zw�?l' s--y,2x Il. � ._ 9 <br /> N'.D.Ponn A-4600—E.P.Ca.—G-26-� <br /> City of Everett�Water Departinent <br /> APPLICATION FOR WATER <br /> All blunls nmst Ue filled in or crossed out <br /> I'sverett,......... ;• .-r{'......�.....................1�J2Q.. <br /> TO TIIC SUPLRINTENDENT OF TIIP•. \S��F.PARTDI�NT: <br /> CITY OF E��CRETT: <br /> I IicrcUy applp tor the use of�catm• in nccardance �vith the rvles nnd mgu- <br /> lations of lhe lVater Depnttment, for purPoses and fix:ures stuted below. <br /> Dw�ing the timc thnt nny nt thc water mnins mny 6e LnL-en up by renson <br /> oi nny imprucenunts authorized b�� Uic Cily ot ��•crett, in or nf a»y street or <br /> nlley in o•hich thcy m�Y hnce 6cen lnid, the City mill not Le reryuired to furnish <br /> a•:der dm•ing the P�'ogress of such iroprovement= to nny wnsumcr wltosc supP�Y <br /> mu� thus be cuL of[, or Uc liab! for any dmm�ges for its failure so to do. . <br /> rlpplicntion No........ . ��'�`����` • <br /> /_g.. ............ ._ � t <br /> Bloek............_�°°._°�....... _�oy.....-.-..�-.,5...................set•�aa............ __..._.........1......__l� �-'��� <br /> r�o...._�.6.3.1..... ..��(�—P-�,., <br /> . <br /> � a - /(i; <br /> � �� ' <br /> ._............. <br /> � The work to be�executed 6y..__.. _... . ._ . . _...._.._ _....�.........PlumUer <br /> ?S�tq.�e =_�zc of tnp. /� �� � � , .. . �rl <br /> / �� ' .'�f'�, o . <br /> .!f.......Tnp to Uc inse�ted in lhe mnin. CI <br /> 3° _� <br /> � ..�......Walcr closet ,1 "�'' <br /> f.l% <br /> ....---it��� t�� /i u, <br /> .—..-�.....Urinnl �✓ ' <br /> ..fi:.....Plnin fnucet ingidc <br /> --....��ae n•alk tcnsher <br /> _i.............Aose bib outsidc � <br /> .............._Hose bib for building Purposes ;�� � <br /> �...............Hosc Uib inside � <br /> �. ...,...--...—BiU for stnblc contnining...................stnll.................... <br /> ..... ._.A'umber ot persons in family <br /> ................NumLcr of rooms in building , <br /> The premises nre to be used as a...._� .. ._.. ..._._ _._......... ._............... <br /> � <br /> The owner of thc premises is_...._...... ..�._ _. . .. .. ............ <br /> Thc ngent is..........�_............._............_.._........................... <br /> .....................................r...... <br /> This a�Plication, nlHiough signed, shnll not Le Linding upon the City, until <br /> nccepled by lhe Super' endc t o ql,;}Vntr Depnr nent. <br /> Signed.... .. ..�..�l4cC...N...!<v..... ..: ...�qPP� <br /> .... . .._...e Itca t <br /> Accepted............................._. _..192...... BY,.............../....... .... <br /> ....................... <br /> �_ �^ � �� � ��.� uperintendent <br /> 1�"• ' �./—�� <br />