Laserfiche WebLink
/ � i, > _' �'�,'J <br />W. D. Fo� n 4 , <br />CITY OF EVERETT—WATER DEPARTMENT <br />APPLICA'�'ION FOR WATER <br />All Ulanks must bc filled in or crossed out <br />Evcrett,...._ .. ...... .... . !'F.i-a.[.f�_��................. _ _...19� .`.� <br />/ <br />TO THE SUPERINTENDENT OF 'THE \VArfER DEP.9RTil4ENT: <br />CITY OF EVERETT: <br />S hereby apply fnr the use of water in accardacice with the rules and regu- <br />lations o[ the \Vater Department, for purpi ses and fixtures slnted Ucla«�. <br />During lhc limc that any o[ Lnc watcr mains may Ue taken up Uy rcason <br />ot any improvements autl�oriud Uy Lhc City uf Everett, in or ot any strect or <br />nlley in which they moy h�ve Ucen laid, the Citp will not be required to furnish <br />�vater during the pmgress ot such improvemenls lo any consumcr whose sup- <br />ply may lhus bc cut off, or be IiaUle for any damages tor its failure so to do. <br />Application No....�1��.����........_... <br />Slock.._..._ ............................._ Lot......_.��................. Add��:! .�.�E,.�.ai.:.'... . ., . <br />� <br />No........... �..��.�.......!'�.,�u�....�d:r2�.��'?..:�...........Strect <br />.. . __ _._.._.._........ .. <br />The work to Ue executed bY ..............__............_...............__.........._.._._.Plumbc: <br />Sta� izc of tap. <br />__..'���..Tap lo bc inscrtcd ir. thr :rai�. <br />......./......Water dosct <br />...��"...Bath <br />................Urinal <br />................Plai� faucet insidc <br />................Sidc walk washcr <br />................F?ose biU oulside <br />A@R i �'-'�� ,� <br />�f,�,�(`..�,�9 �, <br />Ciiy �0 <br />'�Na�irs�rr.:t���:. 3� � <br />Hosc bib for building purposes �r � <br />................ • <br />i i7 i/ <br />................Hose biU insidc , i�� , ��' � <br />__..._.......Bib Cor staUlc conlaining.........._._.....st:ill..... �. ._. _... n �! �. <br />....___ ....NumUer ot persons in family <br />.__�........NmnUcr of rooms in building <br />The premises are to bc used as a.... �� . �_... _... ._. <br />Thc o�aner of the Premises �s -./�. / -�-. { ='.��' � 1u-�.>. •--�-.... <br />i � <br />Thcagent is ........................... ...__._.._ t _...._ � ........ .. ........_....... <br />This applic�lion, �lthourh siFned, shall not bc Uinding upon the City, �mtil <br />acceptcd by the Super' tendmt of,the Waler Depart��icnt, <br />�� ,%�c����i.l' f�I. �,.,�,:r-'�..Applicnnt <br />SiFncd_.. ......I:�.sc :...................................._...�.�... �............... <br />Arccpted .... ..__ .. . ._. ___]P.. _. By _. . ...._:. �.. ........ ._......_.__... <br />. -..SttPcuntcndent. <br />