Laserfiche WebLink
�,r!%„ 9/�i;;:i- J . . , _ F.���-77 S —z=- - `� -h�7 <br /> �': 1�.Form A._ IJoO—E.P.Cc._ G-2U2f <br /> City of Everett^--�T�te� i)epartment <br /> 1'_:�P�ICA.1'ION FOR ��T1�.TE� <br /> All blanl.s uiusU Lc fiiled in or crossed� <br /> �5 � �i <br /> LrereCt................_._....__...._...__........_�.-�.............._19•!y . <br /> PO TH� SUFERINTLNDP:tiT OR THL PiATER DPPAR'.ililiN'P: <br /> CITY' OR PVI:I:LTT: <br /> ( liereUc npply for the a:;r. of tv:�ter in acccrdcnce n'ith thc rul��. :'�nd :r6'u- <br /> lations ot tl:e «'ater Depaetment, ior pmpoees zmd fis�wes stn;c3 6rlo�c. <br /> Um�ing the time ti�nt any of th.c wuter mains may be tal;en ap by r�aisou <br /> of any improvements authorized by the Ciry of Ecerc[C. in or oi nny strect ur <br /> c;ley in w}�i^h thep may haee been ]nid, thc City �t�ill not be required to fur�ish <br /> mater during thc progres'� of such imorovements Yo any consuntcr wl�ose sut-pit• <br /> m:ay thus Ue cuc off, ar be !iabli� for any dem:�ges for its fnilure sa to do. <br /> AnBlic'ntLion ldo...._.......�.Q..�..q...._...:.. `' <br /> filo�lc .....�'!�.J d .. ..._/p'9—Lot_.......0 a2.b. ...e. ... Add_. .. . . .._ . .. .. .. <br /> P:o ... ..C!--�'�l7�ra-'..�.r.r.7 ...Strect <br /> 'oL l L.9 <br /> _. . . . .. ...._.. _.. . . . _.. ... ._.. _ . _ . .._ .. _. <br /> 'i ir, wm•I: to Y�e c�ecuted bY.........._. ._ _.. ._._.. _ ._. ... . . .._...PlumUer <br /> :/[ate size af Lr.p. � � � <br /> �1�...�...Tap tu be inserted in the main. ��} ��� �� <br /> __.� ........\l'at�r closet ` <br /> ....�....._...Ba[L . <br /> ................Urinal � <br /> ....._.__...Plnin faucet in=_ide .. <br /> .__...........S�de ieaL': v;nslicr <br /> _............_Aose bib oulsidc <br /> ......_._..._EIose bib for building pm�posc; <br /> .. __........I-Iose Uib insidc <br /> __._......._Eib for stable wntaining...................stall�.....`�.__. � <br /> r , <br /> ..._,.../.......NmnUer uf prrscns in family , : � <br /> ._.�7..�....ATumUer of rooms in building � <br /> 9'�,a liremises are to be uscd ns u ,�7. . �.Q� '--�-�-�--� . . ..._.. <br /> ' 'Plie o�vner of thc prer.�ises is.. il'S`��'t.�tT't!"'tt--��`�Y.��,cii_.i—,�_ <br /> 1'lic agent is....._..............._....._.._..............._._......._..__..._..............._......................._. <br /> This application, nithnugh signed, :hnll no: Ue Uinding upon Lhe City, until <br /> accepted by the �SuPerintendcnt of the \Vater Depnrtment. <br /> � �� <br /> .gned...... �'!'.�'-`'� .. � .�/��_Appluant ff <br /> .�',f i � <br /> _ ,.� ".��..' ."�i.Z � ._.(�+3-._. BY � tj�.:-.-? . � ..__ _....... <br /> Sut�a�int.cudent <br />