Laserfiche WebLink
f"/y7� ' - — = - . r, .. Ye . . <br /> W. D. Form ♦ �500 d-I-17 G.P. ' <br /> CITY OF EVERETT==Water Department <br /> Application for Water <br /> All blanks nmst bc fiheJ in n-crnssed nut <br /> — •_ <br /> i <br /> Gverett�----'----------------' ---! ----------191� 3_ <br /> TO THE SUPERINTENUIiN7'OF THE We\TER DL•'1'.4RTMENT, <br /> CI7'Y OF EV6RE77: <br /> t hereby appiy (ur the use of wn[er in accordance with �he rules and regula- <br /> tinn:n(The M:�ter Uepartmen[, (or purposes and it�[ures s�ated bclox•. <br /> Uuring the timc that any of Ihe wnter mains may be tnAen up by reason of <br /> :mp improcrments authorized bv lhe Cin• of Everett,in or o( any strcet nr :�Ilcy in <br /> which thry m:�y hxvc been Iaid,�the Cit7 will nn[bc rrquimd to lurnish water durinti <br /> the proRrew n(auch improvemenis tu any consumer �chose supply may thus be cut <br /> nf(,ur Uc liahlc tor any dnma�es(or its (ailurc su tn do. <br /> Applirntion Nn.__f 6'�./_"'___ <br /> Bluck ---�-------- ---'-/-Lnt_�^/ O Add.�..�._-. ''- . . . <br /> � "'____.__'__.__" � _�_'.___ ' - . <br /> Nu.-----. -'-'Z--'3� �--(--�4-Sc'cP_"-----'-----..Strect � <br /> _.___________'_____ '__"_ . <br /> 'Pheworklobcexecmedb>'...___'__'___ _____.____ ____ ._' Plumbec <br /> Slate/sizc uf tap. <br /> L-�'_ <br /> _.'Cap to be inttrted in lhe main. <br /> � o <br /> ... ___lVater closet I r� °� <br /> 1 �, � <br /> _______.6:nh � <br /> _._.-__ .Urinal <br /> _.__.___Plain (nucet insidc -. <br /> .-__-_____Sidc�valk wnshcr <br /> - ._._'_..._Ilose bib oWside <br /> ._______liose bib forbuilding purposes -:'. �, . <br /> . _____"Iloscbibinsidc � ' � . � <br /> ._'__.__Uibforstnblecontniuing_______.'_slnll.__' __" �. <br /> _.__.____'Number ot persuns in famil�• <br /> _'____"__Number a(rmm�s in 6uilding �. <br /> Thepremisesarelabeusedasa_.___.__'________.'._'."_.____..__" ____'. <br /> 'fhc na•ner nf Ihc premisrs is .'___._____'__'__.___"_______.___'__.__" <br /> The aHent is .'________.'__.___'_'_____" <br /> .._.'_'_____"_'. .__________ <br /> This applicatian. although signed,shall nat bc binding upon thc CitY. �mtil ac- <br /> ccpted by The Superintcndent of�j�1 R'nte���ru nt. <br /> /� �'n p� �y�,/ , <br /> Signcd _ ._L'. __._�/f�Ul� _ !_(!?��y�"7„_"_Applicanl l <br /> neccu���... � ..� H f�t..�,__ / <br /> . • . � � S;n�<<m�endem <br />