Laserfiche WebLink
� <br /> � rr-`t-r5 � Y_y�La.�,�l �_�_ v�-/�r,-� <br /> i <br /> t\'.D.1'v m�—Iu00-7'P.Ca.—�6-:G�2f <br /> C:ty of F,verett--�Water Department <br /> APPLICA i ION FOR WATER <br /> All binnks must Lc filled in or crossed out <br /> Evm�ett�......�... .....�..:. �.�. ....�...,..�..b............192.S. <br /> TO TIIC SUPCRINT�NllPNT OR TIIP•. R':1TER �PART:II�\T: <br /> CITY nF ]iVP•.I:ETT: <br /> I hereLy �r�ply (or the use ot�vate- in ;mcordlnce tvith the rules nnd tegu- <br /> Intiuns of the \C,der Depnrtment, for purpnses nnd fixtures stnted bclo�e, <br /> Dnring the timc lhat nny ot thc tt•atcr mnins mny Lc takcn up by renson <br /> o[ nny i�upro�•ements onthorized by the Citp ot L•'��crett, in or of nnp strect or <br /> nlley in vhich they may haee bcen Inid, the City will not bc required to furnish <br /> water Junng the pirogross of such imprnvemente to nny consumer whose supply � <br /> m:�y thus be cut off, or(h�'e linble for imy dmm�ges for its fnilure so to do. - s'•'�,� � <br /> APplicntioc No........71....�....�.�...'.v......_ . r,., ..- : -' . ,h.ir <br /> Dlock ....... ..� .... . 7 ..._�,-. / ,� , . -:: <br /> ... . ot. .......... Add.__ 8L' . <br /> A'o . ..��..�-.�...���C���✓�/ .......Street . . ...... . .. ....... . _,. . . . � "'_ L iY�. <br /> _.r._ <br /> /................................_.._ .................. <br /> � , - �. . . .......... <br /> The �vork lo be execufed by...._.. ...... _(,�, -� Plumber <br /> ... . _ ..__ _... ......_..... <br /> Slnte size of tup. / %1 <br /> C <br /> ....:.2.-....:Pap .0 bo inserted in thc mnin. ' <br /> .......�.......Nnlcr cioset <br /> ......�........B a t h � <br /> ...............Urinni <br /> ......_�....�Plnin fnucet insidc <br /> ....._�.�.5ide �enik �vusher . - -. <br /> .....�.....Hosc bib oulside �� � <br /> ���-...' .—...Hose Lib for Uuilding purposes � <br /> ........".�....Ilose bib insidc <br /> .........�-..BiU tor stable conL^.ining....................stnll.................... <br /> ...._��Number of persans in fnmily <br /> ....�.Numbet of rooms in building <br /> The premises nrc to be used as . .. <br /> .............�.......�.... <br /> . �.....y../.��. ....... <br /> 7'he owncr of the premises is._ ��,,i,��f.uZ,��y�-��\ <br /> ... . .......... <br /> 1Se agent is..................................... <br /> . .......__........................................ <br /> ............................. <br /> "his npplicntion, nithough signed, shnll not be binding upon tLe City, until� <br /> I by the Superintendent of the R'uter Depnrtment. ` <br /> Signed... ,.('....._.. " � <br /> '\ I`l .. ...k:...:._::::+.::..:..`-r��T�G--�........Applicnnt <br /> �ei::�..:...%t..:...:............1�2:�.. ➢y..,_['...................... <br /> , ._ . ........................... <br /> ' ' _ Superintendent <br />