Laserfiche WebLink
.L/_.=�-;J _y.� <br /> � '/ <br /> W.D. Fo�m 4 :�� ��� 7 <br /> CIiY OF �VERETT-WATER DEPARTMENT <br /> A�,�PLI�CATION FOR �JATER <br /> All Ulanks must be filled in or cross:: out <br /> - � 7 � � v <br /> Ever�tt............................_....�...................._.....__......_._...i9_........ <br /> TO THE SUPERINTENDENT OF THE WATER DEPARTn4�NT: � <br /> CITY OF EVERETT: <br /> I hereby appl� for the use of water in accordance with the rules and mgu- <br /> lations of the �Vatcr Department, for purposes and fixtures stated below. <br /> Durir.g the timc that any of the �vatcr mams may Uc taken up by reason <br /> of any imp:ovements authorized by thc City of Everett, in or of any strcet or <br /> alley in which tliey may have bcen laid, the City will not bc required to furnish <br /> water during the progress of such improvements to any consumer whose sup- . <br /> ply may thus be cut oft, or Ue liable for any damag�: tor its failure so to do. <br /> Application No...��.�.7_�../............ <br /> Block.............../......................... Lot............�..../7...�...... Add........................................... <br /> No.._....._/.Y....�.....�........�ti��2-l-f.<c.��.c��..._...:....._....Street <br /> ...................................................................................................."--'--..............................._....... <br /> � The wcrk to be execuled by............_..._....__...._.................................._..I'iumbe: <br /> � � � State sizc of tap. <br /> ._.............Tap to be inserted in the main. <br /> Water doset � <br /> /U-'�'�i CCC-l�-Ci"�ZGa�. <br /> .../..._...Bath ' /,i <br /> ................Urinal �, <br /> � ._......_......Plain faucet insidc <br />�`'��f ..:r..,-. ..��_�... f..,'; . � .... .... .Side walk washcr � <br /> ' � ' ................Hose bib outsidc I S c'. �z' <br /> ................Hose bi6 for bui:d:ng Purpcses j�, <br /> n .Ct , <br /> ..........._._Hose bib insidc i � .�/ ���� � � �� <br /> ................Bib for staUle containing.........._.......stall...............�L/�� '� - <br /> C <br /> ................Ncmber of persons in family <br /> / 4di;���-1� <br /> ,,;_ . , ,(�............Number of rooms ir. 6uilding <br /> �r`, 9 - � ��_. • '-� � The premises are to bc used as a.. ..... .. .. . .. <br /> i. �_ <br /> g_... h l ��� .. . , . Tne uwner of tlic Premises is ..... .....__. .._. ..._. . . ...._. <br />. , .. -.. - . y Thc aSent is.................._........_...__.._....__..........._................__. ..... ........__. <br /> Thic application, although,§1gned, shal] no', c Uinding upon the Cily. u;��.�.1! <br /> .cceptcd by th�Pe�teud�t of the Water , paRment. <br /> —1 �� �a / . <br /> 5iSned,/���f 2t.C-:.._�.,.:. .:::�'.�.[�::�......._...._........Applir:�nf <br /> _..y__ .._ <br /> �-�, ;,:�e__ te._ . Br _ _. _ _.. _.__. . _ . <br /> s�a,�,��,t��n �.,�i. <br /> _ � <br />���11� CS�r . _ � . w� <br />