Laserfiche WebLink
r_"Nrj, i .—z- ��, � <br /> W. D. Form • I500 ]-I-17 C.P. � <br /> � CITY OF EVERE7`'1'-=Water Department <br /> Application for Water <br /> AII hlnnks must 6e filled in or crossed/out <br /> �'f �=�-------'�-3- <br /> Everett. ---- <br /> TO�THE SUPF.RINTENUF.NT OF THF.WATER DEPARTMENT, � <br /> l'I1'Y OF EYERE7'T: <br /> ' here6y apply (nr�he use o(water in nccordance with the rules and re[{u1a- <br /> ti.m;nf The N'�ter D=par[mc.�.[,fnr pnqwses and fixtures sta[ed below. <br /> . Uurinu[he limc lhat ony o( Ihe waler mains may be taken up by reawn o( <br /> any improvements au[horized 6y the City nf Everett,in or ot any slrcel ar alley in <br /> wifch[hey nr�v have 6een I�id,the l'ity will not be required ro furnish water durinK <br /> ihe progresx o(auch imprnvements G�any consumer whose supply may thus be cut <br /> �d(,or be IiTble tm any damaNes for i[s failare so to do. <br /> qpplicntinn Noo:'-'-- � �'1 j----'1 / <br /> 131ocA _.�65_ ___Lnt._� _�_`'_,�.____."__"Add_____'__"_____'_._ <br /> � g.0 .2_.�C'�'-'�'f-"-'---..Street <br /> No. --- — <br /> '_". .___. ._"" ' _""_""'__"_"_"�"'"_"_""""""'__""__"""'"__ <br /> The worA ta be ezecuted by.---------'----`�Vi�---'-------"--- Plumber <br /> $tntc size nf tap. Q <br /> n r <br /> .../�___T�p to Ix inscrted in Ihe main. � <br /> _'` ___Watrrcluset ° ° <br /> ____.Hath �., _ L�."5�--, <br /> s <br /> __. .`-c .Urinal ///��� <br /> ___._�--PI�m t5acet inside / ' <br /> "'�_"_"Side-wallc-washcr '� <br /> .._Hosebib�uutside <br /> -__.Hose bib for buildinF Purpnses <br /> . —c.-__=-_Hnsc bib inside <br /> ` "-- .. Hibforstahlccnn.aininH------.—.stall."_.'_'_' <br /> _" ""'NumLer nf persnns in tnmily <br /> � ___�__.Number uf rooms in buildinK � j, <br /> Thc premises are tn be useJ as n--�----��- — -`Y=-��tiV -�A�Y <br /> . <br /> j The nwner u(the premises is ._�I-"�-"- - - '-- + "--" <br /> - TheaHentis .-"'-----'----------"---' --'--------"'__'---"-----' <br /> .This application,nithaugh signed,shall not bc binding upun the Ciry, antil aa <br /> � ccptcA Uq The Superimendent nf the Wntcr De�nr ienL r <br /> � SiRned-_./�t!/�'u!lc=�/C!/i--�,�� _ ' APPlicant <br /> Acccpted...- �` / <br /> � � .._.'_.__..__191 Rr._'_ ._ . � "" <br /> � .. -- ' . _nden <br /> \�'. <br /> �:- __ .. <br />