Laserfiche WebLink
_, <br />,,_Fn ,ni�— /- - ' „' '- E,-�-, v �,- � .�� ��i <br />, 'W. D. Fotm ♦ I500 J-I-17 C. P. � -ti <br />CITY OF EVERETT--Water Department <br />Application for Water <br />All blanks must be filled in or crosaed out <br />Everett..___ .'_________'//./.�'_"_'_""_'19�3_�" <br />TO THE SUPF.RIN'fENUENT OF THE WATER DEPARTMENT, <br />C[TY OF EYERETT: <br />I herehy apply for the use o( water in accordance with the rules and regula- <br />tiuns of The Warer Daparhnent, for pnrposes and fixtures stated below. <br />During the time that any of thc �.vater mains may be taken up by rcason of <br />any improvements authorixed by the Citv ot Everett, in or ot any strcet or alley in <br />�vhich they m�y have Aeen laid, the City will not be required ro fumiah water during <br />the progress of auch improvements to any consumer whox supply may thun be cut <br />n(t, or be tiable tor any damQag[�esjo7r ��ts tailure so to do. <br />ApplicntionNo�..J�5+./._�"'_"' p <br />B4ick -------.T_.S^.3-_ Iwrt.---j' 1il-%�"-:ld Add----------- <br />--- <br />� ��_ �, f7��1L�-!�<�_..Street <br />No.. -__�'_. <br />_"'..._"' _"_"' ''"""iG"""_""'_"""__'"".'"_____'__""""'"""' <br />'fhe work to be execute� bY__.___...__'___ .___..__._""--'_---" Plumber <br />State s'zr nt tap. <br />...��_ fap to be inserted in the main. _�--��� � <br />. _ _ . _� _ _ W ater dnset <br />--' — J -- Bath <br />._ lirinal <br />�-- <br />__.y.Plain faucet inxide <br />- - - ----.Side-wMk�washcr" <br />_ _ . _ _. �..Hnse bib outside <br />. _ _ . _' -. _ Flese�ib-far-bvildinit-Hxqwsrs__` � � <br />_....Hose bib insidc / <br />.""'_" . . . ._"__'.. _stalL""_k__ <br />_'__-__"'NumAer of persuns in family � <br />__. �____Num6cr n( rnoms in building . <br />The premises are [n be used as a _ _. . _ _ . -,�- . --�. - �.f��_ <br />"___.__ _._._' <br />The owner n( the premise3'is ___ _�._ _-_ <br />�� -�E.t.t�2_4tV _""_ _ _' <br />TheaNentis ""-.-".-_------'-"---'-- �-�----.-"__""- <br />T6is opplicntion, nithouRh siKned, shall not be bindinR upon the City, �mtil ac. <br />cep[ed by The Suprrintenden�( t Wnter epartme��. � <br />Signed �-"-_[f--���-C<-LC�`c' ���'�_ "'-'—� ''Ap licant <br />//' �., ' <br />Accepted.. _�/ _ 3"'_„j¢�'� B�'..' � __ LC�� __� <br />�� ° ndem t <br />