Laserfiche WebLink
.. ,�'/�/.� �-' - < . ^ . _ � F - - --, <br /> �''S_1. z3" i�7 <br /> N'.,3).�f'orm ♦ I500 �-I-I I C.P. <br /> V <br /> CITY OF EVERETT-=Water Department <br /> Application for Wa�er <br /> All blankx muat be filled in or crnsseA�wt . <br /> Everet4___'____"'_"""�!Z,n�w;_..1932..3 <br /> TO TH6 SUYERINTENUENT OF THE WATER DEPAR'�7�1[, � <br /> CI1'Y OF E`JERETT: � � <br /> 1 hereby apply(or the use ut warer in attordanm wi� Nles and rrgula- � <br /> �, tinns of The Water Departm_nt, for purpnses and fixtures �w. <br /> Du•�inR the[ime that any of the water mains may�e �up hy reason of <br /> ! nny improv.ments authorized bp the Ci�y ot Evercit,in or oI� ;�treet or alley in <br /> � whith they may have been laid, the City will not be requi{d � ish water during <br /> �. the progrees n(euch improvem^nts to eny consumer whnN m�thua be<ut � <br /> ' nfi,or be lia6k(or any dama�cs for its(ailure so to du. �, ,� ' . <br /> �e�§ . �<� <br /> � APPliutio/n No.. �I-�v.�I.9- -'L - �:� \,� � , . <br /> Bixk . 1,�-7 _- _-Lot !2 T.: .__._Add ';pi� �a _,.�� <br /> Nn..!�-'Q_.�Q_ �^t.; .' ����'. <br /> -�-__.___..StreM . . .,'.�,,t�� <br /> , .. ,.�...:�t.� <br /> _""_. „��bl:. . <br /> 'Phe work tu be execufed by ____"__""'__ '____""___'__'_____"_ Plumber � <br /> State si:e nf tap. � � <br /> ..�:_�___'Cap ro be inscrtcd in thc main. � _ <br /> '--'_____Waterdov[ � ��e� 4�q <br /> _ ./y� — <br /> . "'._"_.Bath � - • <br /> _".___ .Urinal � � � � �'�-, <br /> '--'_'_-Plain [aucct inside . ' � ��' �� . <br /> �. v //� � <br /> ..________Side walk washer �5�--� �5�.C�/ _,�—I`''/'� <br /> "__.""'Husebihnulside eL " ' . <br /> __"'_____Hose bib(orbuilding pwpnses . . <br /> . ..i.� ... , <br /> .Hnsc bib insidc , `- � /�-" / <br /> . '__"" . '� : .-. <br /> ._"".___Bibforstablecontaininq_"'_.'..__slall_.___ _ . <br /> "'_.____Numbcr o[per�ans in fnmily <br /> ..__.____.Number ot moms in 6uildinq <br /> The premisrs are ln bc used as a___.'._"'_"""""..'_'__"_'_"" '_".. <br /> The owner n(Uie premises is ""'.___'____'.'..__""__'__'___...'____ <br /> _.'_'_ <br /> The aHent is...'_'_____..._. ___"__'__"" ' <br /> '__,._.'_"."'___.'___'_._'_.. <br /> This application,although siKncd,shall not bc bindinq upon Ihe Ciq�, until ac- <br /> � _ cepted hy The Superinlende ot the Wet�/I Deparlment. <br /> �' _.� �/ �/y1q �,/� / <br /> .� +� Signed-�-- ---T-�I_Y(n�4.G�r!�:L.."-'- ---' "'-'-ApVlicant <br /> � Accspted..�-_.1-____,����BY- <br /> . . . .._._.__________ <br /> . � Su:vinlmCrni <br /> ,. . — <br />