Laserfiche WebLink
S'i.�I 9^4-30 -/J' <br />�y. D. Form 1—Iu00—E.P.Co.--6-26�2C <br />�� ��.i ,. ,� � _.,- <br />. `. <br />City of Everett'--Water Department <br />APPLICATION FOR �v'ATER <br />All binnks must bc filted in or c�ossed out <br />Evcrett ................... ��' C <br />. ... . .... r/i.....� ..............192��.. � <br />YO THE SUPERI?7TlNDGNT OF TIIG ' CR DEPAIiThIliNT: <br />CITY OF EVERETT: <br />I hereby npply for the use of �enter in nccordance �cith the rules nnd regu- <br />Intions of the R'ater Dephartment, fnr purposcs nnd fixlnres stated bclo�c. <br />ef anynimprovcneents authori ed bytthe City ofAEverett in orkof any�streetgor <br />xlleg in which tiiey mny hnre been laid, the City will not be required to furnish <br />wnter during lhe progress uf such improvements to any consumer wl�ose supply <br />����Y thus be cut otf, or be liable for any dmm�ges for its fnilure so to do. <br />APPlica[ion No......�O.�Z.......... '71�/p ; <br />1p � -( � , �-. <br />Block............_..�1..�....1........ Lat.....J ............. ...._... Add...�'..... � CCC7�.....�_r} �. <br />'�� �� . . ..... : - <br />No.,�.(�...Z �_%'�,...��Y�L��.-«r:.c.�treet <br />The work to be executed by.... ._....... _._ .....................Plumber <br />..._. .._ .................... <br />�_ <br />Stnte size of tnp. / "' ��r — � <br />.. �L:_Tap to Uc inserted in the mnin. <br />-.......�......Wnter claset <br />..-..I.......Bath � / <br />...... -.-......Urinel .. . . . . .� ... <br />...._z.....Plnin fnucet inside <br />�� ..............Side tvnik NpS}ICl' <br />....._�--.....Hose bib oulside <br />��_....-..._Hose bib for building purposes <br />.......-�.....Hose bib inside <br />........-.....Hib for stable containing ....................xtnll.................... <br />��-....'.-.....Number of persone in family <br />...-3.......Number of rooms in building <br />The premises nre ta be uacd as n......__. ��..��.c�J,_...... <br />The owner of the premises is ..............__._.. <br />Theagent is ............................................................... <br />....................................................... <br />This application, althovgh signed, shnll not be binding upon the City, until <br />9ted by the Supe`r�intendenL of the Wnter Dc rtment. <br />Signed..../.%.j��"!I�. .A/..!`�.�"F...L!(.......... _....... ..�.. p'...nt <br />/I `� �� .. .... . <br />. .. . <br />ced......�f. .,..fj U (�% . <br />/ / .._.......... By.....�J.kiP/� 4/... . . <br />S er' tendent <br />�...... <br />