Laserfiche WebLink
� <br />f _ — � (' 1 . G. � � ) <br />`�%�� — //� a�� _ � . i . <br />A <br />� <br />W. �. Form � I500 3-I-17 C. P. ' <br />CiTY OF EVERETT6=Water Department <br />Application for ater <br />Ali blanks must b filled nr cra�5 ����L <br />�!�--- ------ - t�- <br />r��«��. - --- <br />TO THE SUPF.RIN'PL•'NUIiNT OF TI1E WATER DEPARTMENT, <br />CI7'Y OF E`lERETT: <br />� hen•l>�. applv {��r ihe usc ot watcr in accordance witn the rules and requla- <br />�in�; of Tl�e Natcr U:p�rtm�nl. fnr pnrpnses and fiztures sla[ed bdow. <br />Uurinq the time �ha[ any o( lhe «'�<<�" �n�u�s may be taken up by reason n( <br />:�ny imDrovemenh �utharized by LLe City of Everett. in or of anY street nr alleY in <br />�.chich thry nnY ����'e becn I�iid, the City will not 6r requircd ro(umish waler during <br />the proRresti ��f 9��d� �mProvmnents tu any consumer x•hosc supply may lhus bc cut <br />nif, ur he liable fnr any <Iai�H�s �°' ��s t�ilure so �� do <br />i <br />Applirntian No.'_ _ ' '___""_' , <br />�—�� AdJ'____'_"_'___'__- <br />Hluck _�� .__ ._J .. 'L__'l:.'_ <br />� oG s`i i�-/ _,i�__.'." '_..Suic• <br />\u."__ ' " '" .___"' <br />` _" <br />""_ "_ _ <br />. ""_ ' __""""-_ <br />""_ <br />' "' _' _"'"'� ' _ _' _""'"""_""' <br />"I'he �c'�rk lo b�, rxetUlyd b)'. �-y_" // _" ' "-_"'""" <br />Plumber <br />Stat�siruit:ip. �/ .__' __S/;••'� <br />.__���_'.'Pap lo be inserted in the main. ��� �- � <br />� _ .\Yate� dnset <br />___' �__IIath <br />'-- --'_ 13rin:A_ <br />_"'_',-.Plain taucet inside <br />_ _ _ _ _ _ _' _Sidc waik wasLcr , <br />__._.._�._Hose bib nulside - <br />_______ -Ilosc bib Gir6uilding pur�wscs <br />_ _ _ _ . _. U�u:rb'tl>-imidc'—' <br />_. _ Bih (ar s[nble rnnt:�ininK � -- - -' -' --- -slall' _""- <br />__.Number uf persuns in (aroily ; � � <br />_""' � <br />—' - <br />r ' <br />._ __ _' Numbcr n( rnoms in building �; <br />__' <br />'I'h Prcmises are �a Le used as a __ ' _' JJ-"� `% . %.- . <br />_ _ '__"' <br />�itiU �-� �_".. _ _'.. <br />9'he mvner o( tlic premises is _ _' _ . _ . _' _' -' _. " <br />'1'hc aFent is '__ .__'."_. "_"""""'_'_ ' _'_'_ ""'_'_" <br />"' _"""' _ "_" <br />l'his applicatian. �IthouFh siK��cd, shall nnt bc bindinR ��P�,�� the Ciq', untii ac- <br />epted by The SuperiNenden the R'nter Ucpartm�ec/tr� <br />� ✓�L ----------APVlica:it <br />' Si6neu-------�---'--� "--- - P-- / <br />'____ "". <br />/" ._ � �y ����"_'_' _""_'__"'__; <br />��GCe)h•d_... _���---�-t�l �j� , Snperlmendem <br />, `/ •:" <br />