Laserfiche WebLink
4 <br /> � F,KTfJ ..�=�_�3 — a� c _ �/=r.rr�v /i^Ze_-2x—��, <br /> • <br /> W. C. Form 1 I5J0 3-1-17 C.P. ''1�•: . ' <br /> C1TY OF EVERETT==Water, Department <br /> A�plication for WatP� � <br /> All blanks must bc filled in or crnssed nut <br /> � lverett..�� :L �____'___.19� <br /> '_"'_"""___ <br /> TO THE SUPe'RIN7'GNDIiN7'OI�THE �YATER DCPANTniEN"I', <br /> l'17'1'OP ti`lERETT: <br /> I here�y apply(or the use of wa[er in acco�ance with Ihe rules nnd regula• <br /> tinns u(The 11"�ter Uzpartm�nt, fur purposes and fixtures shrted bclow. <br /> Durin;tlie time �hat:inr of Uie water maius may be taken up by rcasnn o( <br /> nny impruvrmenls:wthorized bc [he City�of liverett,in or of any sVeet or a11ey in <br /> ��•hich thry m::y have been laid,�tlie City will no[ bc requiicd to lurnish wnter durinR <br /> the progress�(such improvemenn[n nny consumer H�hose supply may thus be cut <br /> nff. or be liable for anY����my�igJy(•�� !or its L•�ilure so ta do. <br /> APPlirntiunNo. __"!_Il.S-`5-^ <br /> tii�,��: .'Y�3_ �._L�c----7-- �. -_.,a�i -------------- — <br /> �,,../.3i�--_ <br /> ------ <br /> "_""_._ __'._ '_'_..Streel <br /> .__"'___._.___"" . __""_'_'...._'__'_______"_"___"'__'_"_"__"'___' <br /> 7'he wrorL to he esecuted by_.____"_""'__ -- Plumber <br /> ___-__.____'__'___ <br /> Stat�siv ot t�p. <br /> .y <br /> --'- ..Tap to be inserted in the main. /J� — <br /> '-'-"�--q'ater clos�t <br /> -"'-�'_[i:rth <br />" --- --�j,m„— <br /> '-_"�__Plain faucct insidc <br /> .___'_'__S+d�wxlk-x�a!nc�r <br /> / � <br /> i � ""J_.._iluscbibuutside <br /> ""'__..I . mg purpuses <br /> � <br /> ' ""'__"17.we-bib�sirlc— <br /> -""'_.'_JiiL-f«r-aGtbk'coIIiaining.�'__"_'slall,_-..'_" <br /> _"_.__.._.Numberu(persons in tamil�• <br /> "-'u__Numhcr a(rooms in building <br /> 9'hc prt mises arc tn bc usrd as ❑_is' . <br /> /A _ '_ __ ".' __ _ <br /> _'_'_ _' _'___. <br /> 'fhe onner o([he premises is _!/! ' � <br /> _' _' __'__'.___________ ___'_'____ <br /> . �7'he aCent is .""_____"" <br /> . ____-_'_'_'___ '___'.'.'._'_"'__.'____'______ <br /> :fhis :pplication, althouq6 signed, shall not be bindiuq upu❑ the CitY. until ac- <br /> .�.i by Thc Supenntcndcnt u[the Vnl r pi ��runent. <br /> Signed __' "' __ <br /> " .'_"""__"_ _'_'_'__rlppliran <br /> '.a�:pted. __.'_"_��.�',_'191' f3 J ' <br /> . Y_._-'.. _ _.._. .__ .__ <br /> . . . � . .,. �,.i<<�:!.�,i___ <br />