Laserfiche WebLink
G,�.-�.-t'ci '.(�3�3-3.., � �( <br />N. D. Farm �—]G00—S,CCo.-6�2b26 <br />i..t-�7 :i /r'� ��� ,I <br />City of Everett--Water Depai�tment <br />APPLICATION FOR WATER <br />All binnks must bc filled in or crossed out <br />�vcrelt ..................:" .(...!.f..l!/L,L!1.,.,,.�....✓�.......19 .�0... <br />TO TIIE SUP�IiINT�NDrrfCITY OF EV`EIiETT;DEPARTDiENT: <br />I hereUy npply for the use at u•aler in nccordmice with the rules nnd re6u- <br />Ir.tions of the \S'atcr Dep¢rtment, far purpases and fixtures stnted bclow. <br />lluring Uie time that ¢ny of thc �v.�lcr nmins mny be tnken u�i Ly rcason <br />of nny iiupro�ements nuthorized by lhc Cily af GcerMt, in or of nny strect or <br />ulley in which thcy mny heve been Inid, the CiLy �vill not be required to furnish <br />wnter during lhe progress of such improvements to ¢ny consmner wl�ose auPP�Y <br />muy thus Uu cuL ot[, or be linble tor uny dmm�ges far its fnilure so to do. <br />Applicntion N^o..... .... . 3 r . � <br />�D ........................ �38� <br />. <br />Rlock........... �_�. !/ '�L............_.....___. Add...�.�1.. � 5,.. /:.`. .'.:....!..... <br />............... Lot.......�..... <br />A*o........ vz..�s�..3.....G��2��......_street <br />.... ...............................................................................................y......../....................................... <br />The work to be e�ecuted UY.._.....�� (.�/I/l�j��,�y����--"'p�umber <br />State size of tnp. �� ����� �--/" �_�3�Q� <br />7� <br />.....>>.,..j�...Tnp to be mscrted m the mnm. <br />__.,_..�_......«�ntCC C�osCt <br />......I.......Bnth <br />......... ...Urin¢1 <br />,....._z....Plnin fuucet insidc <br />........-....Side wnik «•uslicr <br />.......�....._Hose Uib oulside <br />........�..Hose Uib for Luilding purp�ses <br />........�...ilosc biL insidc <br />......�-...Bib for stnble contoining ....................stall.................... <br />........�....Numbcr of pereons in fnmily <br />...�.....NumUcr of rooms in building <br />The premises nre to be used as ......./. '.�' � �---� ��� ��--�����- <br />The owncr of thc prer.»ses is...�....G(.-��.._. .��...... <br />Thc agent is ..................................................._..._�... . <br />... ................................................ <br />This npplicntion, although signed, shnll not be binding upon the City, until <br />4ed by the Supermten ent o'f�,t,e\Vnter Depnrtmen �(.ei . _ <br />..�-�/.' �1 i'�i- �/ �"r .�a,�rn�w,,.0 <br />n��a..._.3...-��...--r.�o " B�1�s'/�y�...........- l <br />�tlRtendenL <br />