Laserfiche WebLink
Gi�-C/., rn/'t . 'i_ 1�.. . ,—. t-.��.��.�L_�� ?- 95 � O r <br /> . ' �i1 l't'� <br /> W.U.Fnnn d-1!On &P.Co.-626.2/ <br /> City of Everett�Water Depai�tment <br /> APPLICATION FOR tij��TER <br /> Nl Almilta must be fillyd in or c*osard out � <br /> "1�y 5 3 � <br /> Ecerett.. ......................................................................19E...... <br /> � TO TIIE SUPL''RIN7L''Nt�^.��P OR THli \F':l'CIiR DlipART11IPY'f: <br /> CITY OR LVLRliTT; <br /> I h�^�,uy npplp fcr Lhc uac ot w;itcr in :eccurd�ncc with tlic ndes mid 1'cgu- <br /> InL•.arc uf lhc 1Yulcr Depnrtmcut, for pmpoxes :md fix'ures stated Lel���c. <br /> Dm�ing thc lime thnt nny oC the �ratcr mnins mn}� Le L•iAcn up Ly rensuu <br /> af nny improcements nuthorir.ed by lhe City oi F:cereit, in or oC ra�y slreet nr ' <br /> zlley in �chidi they mny hnce bern laid, the City �cill unt be required to furni�h <br /> water during the progress uf such im;irnvements to nn}' con.umer w iose supV�Y <br /> in:iy thus bc cirt off, or Ug IinLle for :�n�• dmnnc^�.: for iis fnilure s� to do. <br /> Appliention ido........_5...'..�......_........ <br /> Blo�k ....... . _...... I ot ..... . . .... Add......� , ....:_...�_.�,�. .. <br /> � <br /> No. . .... � �>.� � . .Ji�g..�,._ft_�....... ..Street i <br /> .. _ ....._.... _..........................._........._....._............................._.._.._. ......__........................... <br /> i <br /> Tne work to be execuled by.___._._._.. _. ._ ... . ._._ . .. .. ._......_.__P1umUer <br /> F <br /> St�te sise at lnii. <br /> n <br /> _.. ........_Tnp to bc inscrted in thc mr,in, aj <br /> ........_.....{pnter doscl � ��O � <br /> ................L'nN� „" �J`� <br /> ................Urinul <br /> �� �✓ <br /> ................Plnin tnucc: :nsiile 1 �•e�"' <br /> w <br /> ..........._. .S;de wnik �eashcr ,���� � �\ , }1.�,1� <br /> .........._...Sdose bib outside � f � <br /> ........._.....Hose bib for building purposes ��\/ �,`: <br /> .._............E�ose Uib inside , . .. <br /> ._.............Bib for stnble contnining.............:..:...sta1L�_.:::::........_. <br /> ...............A'umbcr of persons in fmuily � �—;`��� ' <br /> ................Number of romns in building ��'� `'.. ' <br /> The Premises nrc to be used as n......_..._....._.�:._.:....__.................. .._................... <br /> � T6e owner of thc premises is.._.......__............__....___........................_................. <br /> Thcngent is................................................................................................................_... <br /> I'his npplicntion, nithuugh signed, shnll not be binding upon the City, until <br /> , y�ted 6y the Superintende�nt�of(th�e�W�atc�r/D�ep,��rtment. <br /> . ., � Signe}I.....��t/!/.-7�l�`���..`..................._. . . ..A pl' ant <br /> ✓ ' �� � <br /> / <br /> .<..�1�........_ ....15�� Dy...��!�..........._/ . ........ <br /> " nicndent - <br /> ��-----�-- . <br />