Laserfiche WebLink
/';vr,�1 i a-r_3 0 - r <br /> W.D.Form a-16U0—E.P.Co.—L-2G�24 � <br /> City of Everett--�Water Department <br /> `. <br /> APT�I.IC.�TION FOR W1�TER <br /> All Llanks must be filled in or crossed out <br /> Everett.......................' ...__ .... - <br /> .....�......1................................... <br /> TO TIi� SUPEI2INTCND�NCITY OF LVEItETT D���RT➢I�NT: ' <br /> I liereUy ap,I9 for the nse of �vater in nccord::nce u•ith tlm ttiles and regu- <br /> lntionsDuring hett me�thntt nytofftlupw:,t�er mains may�be tal:en uplby renson <br /> of :my imProvements nuthorized by Q�c City of Et'erett, in or of nny sLrect or <br /> alley in �chich they inay have Ueen laid, the City will not Uc required to furnish <br /> �t•ater during thc progress of such improvements to nny consumer whose supP�Y <br /> m:iy thus bc cut off, or Ue liabCle for :my dnmages far its f:�ilure so to da. <br /> nppl;cntion Na.__.��...rl.. ... —3 9 / <br /> �.......... <br /> ..... Add.. ._..... ._. <br /> Block..._ /L..��-. ..... L�6 2../_ �.. . _ // . . .. .___.. <br /> v� ! 3� � ��ii�y`�Z / .Strcet <br /> .......... <br /> ...._...._......_. ..........._............... <br /> ............_._.._._.....__._.....A............_.........._........ . <br /> � -y— . ....Plumbcr <br /> Tiie �vork to Ue c-ecuted by....��._.. ... -L�-��-�L=������������---��� �'" <br /> State sizc of tap. �//Z �� ��� <br /> ..�/j.r_Tap to 6c inscTted in thc main. � <br /> .._.._.�......R�nter closet � . �j- �� � <br /> ,� ��. :,:_� r <br /> ........�......Bath � ; � <br /> ; ._ __...__... <br /> ........-.'....Urinnl � <br /> ___.2-..Plnin favicet inside <br /> ......._—...Side wallc �casLcr <br /> _._..�......Hosc bib out�idc <br /> .._....`:....I�ose bib for buildin� P:>>'Po��,s <br /> ..._._.�...IIose Uib isside <br /> .......-....Bib for staUlc containing.................._stall___....._ _. .. <br /> ,..._..' .---Number of persons in family <br /> ___y:.._NumUer of romns in building /�yq7 <br /> The Pi•emises are to be used as a v '�`N'-- - �---- -�r--` <br /> The o�cncr of thc prer.iises is.....�!01�ttiL�%t-��^'� ������ � <br /> • Thc agent is.......... ......................................................._............__......................._......... <br /> �s �ipplication, although signed, shall not be binding upon the City, until <br /> � ' by the Superintendent of the Nater Department. <br /> ' . ��� .a � � � . �plicant <br /> .. Signed.....� ._.. . .... .. ...r"""�__.�..................... <br /> �..... � <br /> � ......-i..................... <br /> ._...1'J2...... B•�..'.......... _ .-�'� /' . ._. <br /> . �y .....� ,........._y....,........_... <br /> . .................. � e <br /> i!% `�6�G�`� �-��ju%mtendent <br /> %�q � " , <br /> : <br />