Laserfiche WebLink
/;'/��J <br />W. 0. Form L <br />CITY OF EVERETT—WATER DEPARTMENT <br />APPLICATION FOR W�TER <br />All blanks must bc filled in or crossed oul <br />Everett� ............._........._........_r�....-...3_�...................1s_E...: - <br />TO THE SUF'ERINTENDENT OF THE WATER DEYARTMENT: <br />CITY OF EVERETT: <br />I hereby apply for the use ot water in accordance with the rules and r=gu- <br />lations o[ lhe Water Deparlment, for purposes and tixtures staled below. <br />During the time that any of lhe water mains may be t:+ken up by rcason <br />ot any improvements aulhorized by thc Cily of Everett, in or ot any street or <br />alley in which they may haec bcen laid, the City will not be tequired to furnish <br />u�alcr during the progress of such improvements to any consumer whose sup- <br />ply may lhus bc cut ott, or bc Iiable for any damages for its failure so to do. <br />Applicalion No._�9....C.-.,. /...,..t..... ' �.Yt24 K�C'�•c c'_ <br />Block ......................................_ Lot....�.6✓..................,..... Add.'�`C�!–... ._�.�_... <br />�r <br />�� I.CC.:'��.[4,��i('�.. <br />No ......................�..... �. .......Slrcet <br />.......... ..... .. . <br />The work to Ue executed by... <br />Stale sizc o[ tap. <br />7, / <br />.._sy.......Tap to be inserted in the main. <br />. Watcr closcl <br />Bath <br />................0 rina I <br />Plain taucet inside <br />Side walk washer <br />.._............Hosc bib outsidc <br />.............Hose bib for building Pw•poses <br />.............Plumber <br />...............liose bib insidc <br />.._............Bib for slable containing ...................slall................_.. <br />..._.j. ....._Nvn:ber o[ persone in family <br />.._(�.....NmnUcr of rooms in building ' I�i �� �,�r.lyr-yG— <br />7'h� remises-aro lo be used as n........._._.. �?�'�� �L <br />p �..... ��[1'-GCi��'r,a' <br />t7.G.a,. / <br />'a'hc owner a[ the Premises is ...................__........�. ..._........,.. ........'..,;..._........ <br />(C'.>ct.c[.l�' (!. . <br />Theagent is ....................................__....__...._...._........................._..__....................... <br />This applicalion, although signed, shall not bc binding upon thc Cily, imti] <br />acceP�ed by the S crinle cr ot the W ter Department. <br />SiSned....... ./.�.�......._���/����_'."L...,-. _.......... _.......Applicant <br />/ <br />Arcepled_..._...... ...._.......15.. ➢Y............__........._ ... ..............................._... <br />.__._.......... <br />���� Superintendent. <br />