Laserfiche WebLink
-� YT�1 �(��• i.iy /�. - <br />. /- .. .. . . '(- ' _ ' <br />t`.11. Fo-m; Is��y_ t:.ill'o—;-^_G.2{ . <br />City of Everett�--Water Department <br />��PPI,ICAT�(�N FOR WA.TEF, <br />All b1;iN;s must bc fillcd in or crosr.ed cu[ <br />liccrelt,......._.....___......._�.�`..S ._......__._...._._:�Jr..l <br />i <br />1'0 1'i1i? SUPi:P.1�;1'1;Si�F..�T (1P TIIE l�'AT� R D�CAI{1'3I1.?:'�': <br />CITY OP CVEI;I.TT; <br />I hcreUy npply ior the u,e r,f �vater in uccerdance �cith the rvlr� :md regu- <br />la[inns oi tl�e i['tter Department, fur pm�poses nnd tix'.tn�e.; sL•ded belcw. <br />Dm�ing lhe time thut any of thc �enter mains may be taken up by rcaso:i <br />of nny imprueements au[hurizcd by the City of lit�crett. in or ot any street or <br />::Ilcy in whirh ihc•� msy Lnee Ucen la'd, the City will not bc requ�red to furnish <br />cr.:Ler durinb the prnp�es.s of such intpravemsnts to nny consumer whose suppl�,' <br />ci.�.y thus Le cut of`, ur 6b�e ]ia61e for n�g dnmag�-s for its L�ilure so to du, <br />Applicutiun \o.... ..D�%.�?..t...._....... <br />ei<,�,s.... �.$.9 L��t "lb��'- naa_ _ <br />:: .�o�. �..I -- .�--'1. _,_„_,�� �-'`'/�.'�.Slrect <br />_... <br />�J� <br />_ _.. . .� <br />�> <br />7hc oo�l, to 6c ewiuted bY .. �,� `G��� _' .. Plmdovi. <br />�;t.atc size nf tuP. � . <br />�� .Tap to Ae in,crted in the moin. ���/ ��� <br />��..._ � <br />. _ .. ..._1t'alcr cbset N <br />_ _....._....Encl� <br />. .._._..._lirinal <br />...._.......3`I�ih f:mcet in:;idc <br />__.._C'(�C R'II��[ lC.!?{tlp <br />.-..___._.I?a?e 6i6 out�ido <br />. __....flose bib for �uil,ling purp�,�ra <br />. . _._._...13ose bil- insidc � � <br />...............Bib for stnblc cuntnining..._.._......._..stall_.......... _. <br />.__._.._....Numbcr of persons in fnmily <br />_-...... .NumLcr of troou;s �n building� � <br />'1'I�.e Piem�ses arc to Uc usrd a � <br />7'Le owner af thc lireniiee� �. �_y�t,{�_�.(��,� /� <br />TCc agent is.... _ . . �.�i1.�.Lc.(;. <br />._ . . . _ ... .._ .. .........._ ............._................... �. <br />Thia npplicaticn, ¢Ithough signed, sball no� 6c hinding apon thc City, antil � <br />'�'"'�. ''�� LheV Supcimtendc/u�t of +}�e d�n'c L'epnrtment <br />icd. 7�,/f� <br />....� "' ;' �,�1.�'�f ..� Applicnnt/ <br />S. ���`•>° B}�.. /'� �^�;:'..��yc.'.. _ . ._ . <br />%— . / � Su�icrmlc� dent <br />