Laserfiche WebLink
( <br /> . .. , . L,� ,I <br /> i <br /> W. O. 1:rm 4 ISGO J-I-17 C.P. 4.. . <br /> CITY OF EVERETT==Water Department <br /> Application for Water <br /> All blanks must 6e filled in or crossed�u[ G <br /> Ererett. . _ _Gt-Y_-=_.__'____19I7.--_ <br /> "fc) THE SUP�RIN'1'CNDEN'1'OF"CHE ER DEPARTT1tiNT, <br /> CI"I'Y OF E`�ERETT: <br /> 1 hereby app�Y for the use nt aater in attordance with the rules anJ regul�- <br /> tiom u(The Waler Uepar[m�nt. fur purposes :md fix[ures stated Sclow. <br /> During the timc that anp of thc water m:dns map be tnken up by reason of <br /> am�improvemen[s authurized by the City nf Everett,in nr of any street or alley in <br /> which they may have been laid, the City will uol be requircd to lurnish water during <br /> die UroRmss o(such improvements tn am•consumer e•hose suppl�� may ihus be cut <br /> nf(, nr Sc 1ia61c for any��� eti p({ir�yts failun so to do. <br /> Applirnlinn n.'_p"""'. o �"'-- / <br /> RluCk �O O -___'Lnl_�� ' �f' ""Add�'-/�����. <br /> .___'__(_'_)''_ <br /> No..6�-.�-L\-7-_._'..__"_'�"""'_'_".'.""_..5[reel <br /> . ____""'.__. '. <br /> .___ . . __. _ <br /> '____'�._._____"_ <br /> _'__ <br /> -'______ <br /> 'I'he work lu be exccuted by-________'_"__'�A`�'---'--. .-_.___, Plumber <br /> s� i s�: ��t c��. <br /> �-��'Cap to 6e inserted in Ihe main. <br /> � __�____Wnterclasrt �� ���� <br /> � � <br /> � __l'___.Bath <br /> i�\��' \ _ _Urinnl <br /> t ---'— �1..('�~` <br /> � __Plain taucet inside C,`f '��. <br /> . ..__'__ � `\ <br /> ___Side�valk washer �\ <br /> _...___.._ilosebiboutside I��/���1 �1(� \hA� <br /> _._'_'____Ho'c bib forbuildinR Purpn=es A G' y��(Il-�� � <br /> _____.___.Hose bib inside (/ <br /> ---S3ibforsta6lecontaininK---'-----_suill_. + pCf ' J��7R <br /> _ y"' Numbur of persnns in tamilp ���•,� � �� ' <br /> \ _��('.� <br /> __�[7.._...Number ut rnams in buildinR �- p� <br /> 'f he Uremises arc tn be used as n_.._. __"__.______"' ._'__.'_. .__'. <br /> 'I�hc owncr uf thc premises is '____'___""'_.'.-_.._____'____-____.__"..._"' <br /> Theagentis_"_'___-_.._'. _"'_'__'___""________'_'_"_______'_______ ._ <br /> 'I'hi� aPPliC:1[inn, Allhouqh signed,shall nn; ut bindinF��Pon thc City, tmtil :o . <br /> ��pe�d 1+y'Phc Superintcndent o(lhe 1Vnter Deparlment. . <br /> SiHned_�J17�'2_"_'��__�..�_��'Z�'�l____ApPlicant <br /> � ----- i= <br /> o / <br /> Anepted.'_ _-."_"�'___191 .. HY_".'_.__"'_'�_'_""_'_"_' <br /> ' . 5•.r,u'mmnAcm <br />