Laserfiche WebLink
�� 6-�-ae-�r <br />W.�D. Porm �'-160D—E.P.Ca.-6R6•4/ <br />��.x� 9. /?_ ,r- y _ ri3� �r <br />City of Everett�Water Department <br />APPLICATION FOR WATER <br />All blanks must be Silled in or croased out <br />Everett.. ....................... � � � <br />.. . .... � ...... ...........................1 �3 2.,l�. .. <br />i <br />TO T}IE SUPERINTENDENT OF THE R'ATER DEPARTMENT: <br />CITY OF EVEI2ETT: <br />I hereby apply for the use of water in accordnnce with the rules end regu- <br />lationa of the Water Depertment, for purposes and fixtures stated below. <br />During the time that any of the wnter mains mey be tnken up by reaeon <br />of any imptovementa avthori¢ed by the City of Everett, in or af any stceet or <br />elley in which they may have been laid, the City will not be required to furnish <br />water during the progresa of euch improvements to any conaumer whose aupply <br />may thus be cut off, ot be liable for nny damages for iTs failure eo to do. <br />Application No... �%�.,�.�,. -- �� % � � � �� y r �� � <br />. ....... .... .. ...... <br />Hlock............�.uS..... Lo .....y/�e Add ...:.:............................_e.�_,� <br />............ <br />.. . . <br />.................. .. <br />No ..............c�.l...�_�.................... ...._ ..._5.:�<�txet <br />................................................................................................................ ..................................... <br />The work to be esecuted by............_..._.....� ..............................Plumber <br />State eize of tep. <br />// <br />_.�.........Tap to be Inserted in the mnin. <br />................Water closet <br />................ B s t h <br />................Urinal <br />................Plain favicet inside <br />................Sidu walk washer <br />................Hose bib outside <br />................Hose bib fnr building purposes <br />................Hosa bib inaide <br />� , <br />................Bib for atable containing....................etall.................... <br />................A`umber of pereons tn family <br />................Number of rooma in building <br />The premisea are to be used as a ..................................................... <br />....................... . <br />. • <br />The owner o1 the premisea is.�!4-�:c-��tJ0.a.�v...���'y <br />. . . ...� <br />Theegent ie ...................................................................................................................... <br />Thie application, although aigned, shall not be binding opon the City, vnNl <br />nceepted by the Superintendent of the R'nter Department. <br />_ J� . <br />� Signed ..............._,!_.!v.?:..........:...��/L.L�'�........................ PP]'can <br />...... <br />,�.....�:�j...��...... By....�1�.�.,F"..... <br />Sup ent <br />