Laserfiche WebLink
"..��,".,�;, ���-��. .'�- �_ , F-,�J�:u�-<1� -- ��� %-7 f-,7�1 <br />W. D. Form.f-.IL00—E.1'.Co.—�.T•.-2i <br />City of �verett�Watei� Depa��tment <br />APPLI�I�TION FOR WATER <br />All blu»ks must bc fillcd in or crossed out <br />Evcrett .................... �..�..5 .. ... .......�.1...�..�.._..........1D2... P. <br />/ <br />TO TII� SUP�RI'9TEA*DF.N1' OP T:U's \\'ATF.R DE RTlIliNT: <br />CITY OF' EVCRETT: <br />I hercUp npply fnr the use of water in aceordance n�ith thc rules and regu- <br />Intiu�s of the Water Denarhnent, for purPoses and fix�ures stated bclow. <br />During tUe lime thnt nny of thc wnter mains mny bc taken uP by rcason <br />of nng improvements nuthoriud Uy the Ci[y of Tverett, in or of nny street or <br />nlley in which they may haee bcen Inid, lhc City will not Uc required to furnish <br />�cater during the progress of such imi�rovements to any consumer wliose suPP�Y <br />may tlms Ue cut aff, orQy 9 linble fm• any dmuages for its faih:re so to do. <br />Applicntion No.__...Q..b...�..� .............._� % / 6 �' <br />i3lock.............Y�..........._.. I.ot...............y.�............ Add..........._......__..._....__...... <br />' / <br />No ...� ..... � . .. � �S—tr�ec�t l � �:.,! l ..\ {, ,� �� �, i . . <br />'A'CJ�'�n�.....�...... . .__. .. � �-'� t�7..�-{.. <br />�:. <br />ihe arork to be executed by ._...... .... __ __....._ ..._ ..PlumUm• <br />s�ze of tap. <br />...y..�....Tnp to ke inserted in the mnin. <br />.....�.........Nnter closet <br />..._!....--.Ba[h <br />....._._..._.Urinnl � j, <br />................P:ain faucet inside i'�'�: � I �J <br />_....._.......Sidc wnik n�nslur 1� � <br />................Hose bib outside � pr <br />................Iiose bi6 for 6uilding �iurposes <br />................IIose bib insidc <br />................Bib for stablc contnininE....................stall.................... <br />Numbcr of persans in family <br />. .. ...._Number of rooms m Uwlding � <br />�e P�'emises nre to be uaed ns a... . n-e-2�...�'�5,-5.�—.,. ._ <br />J��� (� ............ <br />-_ on•ner of the premises is _...(V ��i.-;L.-.qfo�f..,_..._........_... <br />(1 <br />Thengent is ..............................................._.................... U............................._.... , <br />This npplicntion, nlChough siqrad, :hnll not be Uinding upon the City, until � <br />nccepted by Lhe Superint � dcnt tl'p+\Vuter Depnrtment. <br />. `� <br />Signed ... .. ......... ...�c:�-f..�r ..i!'��................� . Applicant <br />_ � <br />.. ... ....... <br />Acce�ted_...... 1_._'�..�..Z..Q.....192.7. By._.. _.. . ............................ . <br />/ ' Superintr,ndent <br />