Laserfiche WebLink
/� � �/�:� <br /> W.D.Fmm 4 <br /> C�Ty OF EVERETT-WATER DEPARTMTER <br /> APFLICATI�N FOR SS�WuA <br /> All blanks must be filled in or cro• <br /> . !7 �..........._......._19_.6.�/ <br /> .. �__................ <br /> Evercit�........_................. .. ... <br /> THE WATER DEPARTMENT: <br /> CI'fY OF EVERETT: <br /> TO THE SUPERINTENDENT O <br /> I hereby PP >' tor p��•Poses and t�Yt�e taken up bY�rc�son <br /> � 1 for Uie use of waler in accordance with the ivles and reE - <br /> artihent, street or <br /> lations o[ thc �Vnler Dep ot the water m�ainE�mr�c� �n or o[,anY <br /> D��r�ng tlic time that any tl�c C�ty, uired to turntsh <br /> ot any imProvements authorii�� liY thc C�ty wi11 an}b onsumer whose sup- <br /> �n which they mnY 1���'� been 1��diovements �° es for ds fmlure so to do. <br /> allcy �h� t�r�gress of such imP d�ma� <br /> �.valer <lurin� o� �c Lablc tor any <br /> Ply ni;�y lhus bc cut oi[, <br /> APPlication No..��-..�...�.._�........... ................ <br /> ....�...... Add....................... .. <br /> Block.... �.���.......Lol.._�� ' ...........Slreel <br /> ........... . <br /> �S�._'....��'............._ ..�[�.:�.P,.�....................... <br /> .. <br /> No............_...... .. � <br /> ...................................................................................... <br /> ....... .....................Plumbcr <br /> ............................... . . <br /> The �vork to bc erecuted UY... ............................................... <br /> ,�alc siu of taP. <br /> >".��....Tap to Ue inscrted in thc m�in. ,. . . �,t,!' <br /> ���.i'�t� . !: <br /> � _f..,....�Vatcr doset <br /> . �: <br /> �,�!-' , " <br /> _ � , �_ <br /> �__.?.:-...Bnth �, ," . <br /> ................Urinal . , <br /> ..,...Plain taucet insidc , � � �. c'-[� - <br /> .......... ....Sidc �valk �vasher � )c c <br /> ..liosc bib oulside / �'1�-� <br /> ,..Siose bib tor buildins Purposes � � � � <br /> `/ ��y> <br /> ................Hosc bib insidc . . stall...............:.... <br /> ....._.........Bib tor slablc contamm6....�............... . <br /> _....NumUcr o[ Persons in family , � <br /> _...._ . . / � !dt J-.�� .r,. <br /> / ��/«`rc_.'.M � ...... <br /> ....�.........NumUcr ot rooms m bwldmG .._.....................__..... <br /> _... . <br /> iemises �re lo bc used as �.......................... .. . .. <br /> ...._._.... <br /> Thc P' .......... . <br /> � • ..........._.................._......._... <br /> icm�ses s........._. _._........ <br /> Thc owncr ot t u P' ......................... <br /> _............... <br /> . . ............. <br /> �� ❑ on thc City. unt� <br /> 7',yc a�ent is......._.................: ...... . �hall not Uc bindins P <br /> q•��;� applic.�����• �llhouFh s��ned, -N��tcr Departm�nt. <br /> acceP���j hl' the Supenntendent of th� � ppplicant <br /> -f ��� ` ��:z�'........ ............ <br /> �>-t .....t ....... .r.:............ <br /> ��a................. <br /> ........ <br /> A^crpled__._.. _.. <br /> ......_...._..........:.1!'....... BY........._.............._..SuPerintendent. <br />