Laserfiche WebLink
"_`'c� '`F-3a-3d //" . _ �'� � � �%� : ,? 7- a'-e /� <br />\V. U. Porm 1—IG00—F..P.Co.-5-26-21 <br />City of Everett�--V�Tater Department <br />APPLICATION FOR WATER <br />A11 Ul�mks must 6e filled in or crossed out <br />c����•occ. ..........................y� 2.7.............................._iT..�.. <br />TO TIiE SUPERIN9'ENllGNT OF TIIG NATER DEPAI2T\iBNT: <br />CITY OR EYF.Ii�TT: <br />I hereby nPP�Y for the use of �eater in nccordnnce with the rules nnd re�u- <br />Intion.: of the R'ater Depnrtment, for purposes nnd tixtmes rtated bctow. <br />of nn}Dmprorements auhhor ed�byttho4City otnErerntt, u or�of nny�st e tsor <br />allcy in �shich thcy m:q� hn�•c bcen laid, thc City mill not bc required to turnish <br />�vater during th.c progress of such improvements to uny consumer �vhosc supply <br />may thus bc cut off, or pbc IiaLlc qfor :my dnmagrs for its Suilure so�to do. <br />App���,., !:on No........7..Q �/ "_ %.� 8 � i <br />4 � z.. Lo�.......-3 ......... ....._ ...... , . <br />B�o , .. ' " � <br />.. ...................... . aaa.. �...::n « � . <br />-I � ,,n �.... .. ..' <br />No........._J.�_�..�.._..�.._....�-�--Y ...............Strcet <br />....... ....... <br />.......................................................... .................................................... ...................... .............. <br />Thc work to be esccuted by........_....S4.0 . ..............._.............._....._Plumbcr <br />Stnte sizc of tnp. F <br />.-�2.Tnp to be inserted in the mnin. G� � <br />. ...... 1 <br />--.._:.......��'ntcr closet �' <br />'� i <br />�- % <br />................ B n c h <br />-- • <br />................ Ur� nnl <br />.-._`..�......Plnin fnucct irsidc <br />................Sidc �vnik washet <br />-- <br />................Hose bib oulside <br />---...-.Hosc bib for building purposes I I'/ <br />...Hose bib insidc �� <br />... .........Bib for stnUie contuinin� ....................stnll.................... <br />--- <br />NumUcr of persons in fmuily <br />...�2'..-..Number of rooms in building - <br />The premises nre to be used as ....�- ' n <br />...._. . .. . .--� .�rv.,�..---..�c....... . <br />The owner of thc prer.iises is. ....:... � � <br />� <br />..................... _. <br />engent is .................................................................................. <br />.................................... <br />s npplicntion, although signed, ;hnll not be bin�3ing uPon the City, until <br />bY the SuperintenJcnt ot tUc ��nter De nrtment. <br />P <br />Signed..�G�rj.. ����-(-� <br />' ""�""w""�`�� %���� A ticnnt <br />� ........................ ............ <br />2 ..... � _ .jA2. _ By...(C,..� . ... " �<.-`TLBRrriwR. <br />,� ...............`7t9 _ ... ./ <br />Svh�� <br />i <br />