Laserfiche WebLink
� � <br />, . ` _ �-'�I ^� i--I L V �NTJ> 15'.72-.� I � <br />�'•'. D. Fern 4 I500 3-I-17 C. P. <br />CITY OF CVERETT==Water Department <br />Application for Wate�- <br />AII Llanks must be filled in or crosse.,d /out <br />Everett�___.__�___ �" .. _________19YJ___ <br />TO THE SUPIiRIN7'ENDEN'1' O�'fHG N.1T R D'e'PAI2TT9ENT, <br />CI1'Y OP E9GRE7"C: <br />1 hereby apply (ar the use u( wnter in accu:dance �citli the rules and .egula� <br />tions of The \Vater Uepartm_n4 (nr purposes and lixtures sta[ad below. <br />lluring the time Ihat :mv of thr �vater ma'ns may be tal:en up by rcason o( <br />any improvements authorizeJ by Ihr City of Evcreit, in ur o( anv strcet or alley in <br />which they may have bemi laid, the City will not be required to lumish wa(cr during <br />the proqress of such improvements to any consumer �chnse supply may thus 6e cut <br />n:f. or be liable far anY�ss77�/�'�n/o��es for i[s tailure so to dn. <br />APPIiCntfon No._�[� �"' ' "' <br />iilock_./7 ' '_'_'[,/�__' __"_'_'_'_Add___.._ <br />/�f ___________ <br />_._ <br />___Nu.___.=J--�_.� / .Street <br />..-.._.____ ' ___._____ _._.._.__ ____________'______'____'___'_'__" . <br />"Phe �anrk ln be esetuted 6y___'_'_"'_ .__'_""_"_""'_", PlumUer <br />Statc ize nf tap. '__'_ � <br />-��!�Pap to be inserted in [6e main. / —ry�j <br />.___ �____\5'atcr closet � � U �-- <br />"" "C' _' . B:rth <br />------__ .Urinal - --- <br />.-._______Plain faucet inside .F .: ` ._; `,.,.. � .. . <br />, ,� I . <br />I . •; t <br />,� � ��1� , + � <br />-.---"_'Side walk washer . ' ',' r.«'�', � i �. <br />, <br />---_- _.._Ilosr bib o�tside � � . . N <br />-----__Jiose bib (or building pwposes �. '� j' <br />- —__"Ilosebibinside �� � ..,• - ` <br />_�.. <br />--"_'.'__f3iblors[aLlecontaining.________'_stall_____- -�a„ <br />__._ _Numhero(persunsin(amily � <br />�.:. .. .. ....... <br />--__�_Num6era(momsinbuilding '. � ,. ... <br />7'hepremi�esare[oheusedasa_.______________"_._ . <br />'_'__ �__'_" _____. <br />�Thenwnera(thepremisesis_______________. .---�— ��� <br />. .._._.._� ,��_e_'_______' <br />The aqent is - � '� <br />__"""_"'_' "_""_'_"" "'__"._"""___'__'_""""" <br />7l�is :�ppGcatian. altlwuqh signed, shall nut be binding upon the CiIY. �m[il ac- <br />ted by The Superinlend n}�� tl}� Wnt � Deparhuent. <br />Si�;ned __-^�� � • _ ��f�r'U- / . <br />� ------ ------- ______Applicant <br />____ <br />. /�_ " <br />Accepled .�._��_ �/ �Y_ i �fj,� <br />•._ ___ <br />.._r�T�y- -------- <br />- -:s:,._ �«����, <br />