Laserfiche WebLink
_ _ _ _ _ _ _ __ <br /> __ . <br /> _ - i <br /> _ __. __ �,��-�,_ <br /> W.�.Fo�m 4 <br /> CITY UF EVERETT—WATER DEPARTMENT �..i�rtE,t�r�•, <br /> , �, . <br /> APPLICATION FOR WATER � � �' '° <br /> i � t ' ��:u <br /> � All blanks must he Silled in or crossed out ,; �.: �: �:�r� <br /> — � � �. � � �.', <br /> / 3..................................is..�z.`� , : .'.: :: .t.; <br /> Everett..................................1..�.... U . � <br /> TO THE SUPERINTENDENCITY OF EV RETTDEPARTMENT: . _._ _� <br /> I hereby aPPly for the use of water in accordance with the rules and reBu- <br /> lations of the �Ya'er Department, for purposes and fixtures stated below. <br /> During thc time that any of the water mains may be taken up by reason <br /> of any improvem�ants aulhonzed by thethe Cdf willTnot be requ ed to furnish <br /> alley in which Shc:y may have been la�d, Y <br /> water during lhe progress of such improvemedamages for�i suf lure sos to do. <br /> p!y may thus be cut of(, or be liable for any . � <br /> Application No....��E..�..�`.":........ . . <br /> � .................. <br /> � <br /> - <br /> Block........................................Lot...�...�.......................... ndd........................ <br /> � �(��:�..����..._�i....Street <br /> ��.��................ <br /> No............................�.. .. <br /> .................................._................................................ <br /> .......................... .. <br /> .....Plumber � <br /> .................................... . <br /> �he work to be executed by............................... , <br /> State�ize oE tap. • S�, �ir <br /> . . Tzp to be inserted in lhe main. � , � <br /> �....... � :1ti-t 1�D <br /> ...............�Vater doset � L <br /> ................Bath „ �" �f 0 � Y <br /> ................Urinal � <br /> � ................Plain faucet inside ,_.��, (L , �� <br /> � . � -�.�/, -,.��1- <br /> ' ................Side waik washer � � �/-7 .- S � �r ` . <br /> ................Hose bib outside . . <br /> ..... <br /> ,,.........Hose bib for building purposes . <br /> ................Hose bib inside �. <br /> . ................Bib for stable containinS....................stall.................... - <br /> ,__,_.,,......Number of persons in family -�� �� -��� -�'— <br /> ...............Number of rooms in building �� •l�'� �;��^�_ <br /> The Premises are to be used as a................................................................................ ' . . �.�� ! ,'..�•. <br /> r . "��r4 <br /> The owner of tlic premises is.....�./.../�...'•.�................/._-................................................. � , <br /> ✓:._...`�-.C�2`�t;�......._............................. � . <br /> " '�r <br /> 1 '' � <br /> The aBent is............................... . . <br /> This apP��cation, althou_^_h signed, shall ot bc bi ding upon he CilyTunti] ; �--. <br /> accepted by lhe Superintendent of 1V�ter De ar ment. ; <br /> � �/ �� ....�Gl:.. ..4.1":7�SPhcant ' ;�,'�.�i:',a�r <br /> � �� �il ..... ...... :. <br /> � $IUIICCl.... .�...p. . ....... _ . <br /> ... ...... .................... <br /> Accepted............................................1 ....... BY....................... .....Suqerintendent. <br /> ! . <br />