Laserfiche WebLink
f-r�-�4/lc_.✓_ "1 \' i-'•� _.. � `. <br />\C D. i'nnn 1 -1'a0—£..P.Co.—�:G ^.J <br />L.,_3_L�L�� �� i. ,�, - <br />City of Evereti`--�Water Departmer.t <br />APP�.ICA�'ION �OR WATE ;, <br />dll Ul.,nks mueC Lc filled in or crassed aut <br />,� � <br />_ �7 ' <br />r.vm�ett ..................... .. r..f...................................._....] 92...... <br />YO 1'ISI�: SUPlRIN19iNUI•:VT OF THF. �VA'CF.R DPPART➢IIP.NT: <br />CITY OR I:VEI:LTT: <br />I hm�ehy aPP�Y for the use of �c:der in ;iccord:mce �eith the rules and regu- <br />lutions of thc Nater Denartment, for purpascs and fistures stuteel below. <br />During lhe 'ime that a��y of tifc •ratcr mnins m:iy Uc tnken up Ly ttasun <br />of nm� improcements uutliorized by the CiLy of L\�crrtt, Li or oC any streeL or <br />allcy in �vhicl� ihep m:iy hn��e ber.n ]aid, the City �vill not be iroqnircd to furnish <br />��:der dm�ing the PTo};ress cf such intprovements ta .wy ennsumer tvltose suPP�Y <br />m:�y thus be cut off, or Cbe 1ia61e for :wy damuges fo.• its failure so to do. <br />Applicntion A�o......_Q..... � � � � <br />/ O <br />� <br />Blod:.. /� ..� . (� �L�ot. ._. ...._.......... Add ... ....... ......... ..._....... <br />No........ :/.gQ_�.. ..._IY,.f` ........ ...... . . Stre�t <br />.... <br />..... _ _ ..........___.... . . .. .% _..� .Q. Q ,,� .� <br />Thc vork to bc e::xuted by ...�f,_/`."—c.�-..'""'-�/yIt 4_ ....Plumbcr <br />St te size of tnP. V o, <br />�f �........Tup to Le inserted in <br />1 .............n'llter ctosec <br />.. �.. .........Batli <br />.—....-. ..Urinal <br />._L".....Plain fnucet insidc <br />-.`..-......Sidc �:nik �vnsher <br />-�....IIose Fib ouLside <br />� °; <br />thc mnin. y <br />�° a -r <br />„� �") <br />I�h �,�.�. - ,, �; <br />�.h�S� �� : �\ I� . <br />\ � �,_f <br />...._` .�_-.Iiose bib for 6uilding 1 :u�peses <br />:_..—.-.-.ITose Lib inside <br />.....�.BiU for staUle contnining......._..........&tall...... . <br />.... ......Numbcr of persons in fnmily /// � <br />. <br />.._�......Number of rooms in beilding , <br />'1'he premises zrz co be �sed as n.. ��� <br />. ............ <br />The o«•ner of tl�c precii�ies �s�i .%"�. �! �� <br />Thc agent is..... . .. .. ..... ..._.. �..... .. ....... <br />. ............................... <br />This npplicntion, nithougli signed, shnll not be 6inding upon the City, unti! <br />nccepted by the Superin c de��of the Nnter Depnrtment. <br />Signed........�. � __ ��j �.�1/.`.rC.Gi' . ..9pplic nt <br />......f1 ✓u�l. <br />. . . .... .... <br />Acecptcd.. �.'...'�%..:..-�...... ..1'J3.7 IIp..... � . <br />/ ._ .. �,._ ..................... <br />�� � <br />perintenden.`. <br />