Laserfiche WebLink
. 'u�d ,�-v-zs-;,�, . �...t Q 4- `i- � �%:�L <br /> u <br /> �s.n.r�m,a-asoo-s.r.co.-a-ae.ze <br /> City of Everett�--Water D��p�rtment <br /> APPLICATION FOR WATER <br /> AII Llanl:s m��st Le filled in or crossed out <br /> Evcrett............................. 9 �/ / <br /> PO THE 5UI'IRINTENllENT OR 'fIIR ll'ATE.'t DCPA22TB[�T..............1��. <br /> CITT OR �VF,I:liTr; <br /> I hrrebp �pp1y for the use of�c�ter in acco:dance with the rulcs nnd regu- <br /> lations of I�ie �5'nter Deparhneut, for ptuposey ,;i�� p��ri�res stuted bclo�r. <br /> oF nn��improecmen�ts� aulhar ed U�ithe��Cit} oft;�er�ett ue orkof r.n\'�street9ar <br /> ullcy in �vhirh they may hn��e bcen ]aid, the City wi11 not be mquired to furnish � <br /> mny�Ums �Ue ct t�ofi�or be linUlc SOI'"III:V`(Illtl196CS for ils f.iilure so'1o51o.uPi>ly. <br /> .4pplication No�...� 3 G O <br /> ._.._...................... <br /> Qlock............... ................. Lot....��^ _ �.. . ' . <br /> 7- <br /> .... <br /> .......................... Add.__....'. .. <br /> ...... <br /> � .....__.............. <br /> rro......__/ __.....3......... <br /> . .................___.... .................Street <br /> ..... ................................................._........ <br /> ._..........._.......................... <br /> The �vork to be eaecuted by._... ... <br /> . .__...._. .._..._. ._.._. ... .._.....IlmuLer <br /> ...._. ...... .. <br /> � t te �ize of tap. � <br /> .i <br /> 2- � .:..Tnp to bc inscrted in U�c main, <br /> '.... ..........1i'ntcr�doset J <br /> .....�..........Bnth ///��� �f� <br /> ������..` .—IIrinnl \�.1 <br /> ��-����..�Pinin fnueet in3ide L <br /> �������—�ile �ralk �cashcr <br /> �'�.-.Idose Lib outsidc <br /> .....-�.-.:.Hosc Lib tor building purpose, <br /> �����.�-...Aose Lib insidc �1'1 <br /> �:::.:...Bib for stnLle contnining....................s'.all.................... + I <br /> --�r..-...A'umber uf persons in fnmilp . <br /> �����L......NumLer of roo:ns in building <br /> Thc premi.=.es nre to be uscd as n...... <br /> T!ie o�vner of the premises is......_..��������� <br /> �, � � /J / _.. <br /> . ..'.`.`�.-1:...d--�-�-��__4--.. <br /> .� . ....... .. _.....__....... <br /> - ngent �s........................................... <br /> __............................ <br /> . ........................................ <br /> ' 'pP�icution, nithuugh signed, ;hn11 not bc binding upon the Ciry, until <br /> �y the Super/in�tendent nof the Nnter Depnrtment. <br /> Signed.....V:�.�cK � • <br /> ...... ..iGY�iZ(/C <br /> . .....5.......... plicn <br /> ... . ........ <br /> ... <br /> :......�y._�_....,r.z�..--n ��j , <br /> Y... , .. <br /> .......... <br /> i rintendent <br />