Laserfiche WebLink
t-�vl�p r�.i/'�.r I'f <br />W. D. I'orm a I500 ]-1-17 G. P. <br />C1TY OF EVERETTa=Water Departme�rt <br />Application for Water <br />AII binnks mus[ he filled in or crossed aut - <br />Brcret4---- `..�1 �----'-----191�-. , <br />TO TIIE SUPIdRINTBNUIiN'P Of THg WATLR DEPARTMENT, <br />CI1'1' OF F.9ERETT: <br />I hereby aPPly tor ihe use nf �eater in aa��rdance wrth tiie rales and re6��ia� <br />tinns of The Nater D:p�rUnent. fur purD��« �nd fixturcs r�tated hclo�v. <br />Durinq the time �hat any nf the centcr mains mar Lc Inken up by reason of <br />any impruvement+ authorized by tiie City ��f liverett. in or of anY stroet or aI1cY in <br />which [heY �»'�Y have bcen laid. tiie City ��•ill not bc required to furnish e�atcr during <br />[{if, or be lial>le (or�nny dain �gcs tur �i�l�n�iW cyso�U> dohnse supply may Ihus Uc cut <br />r7 C- ^ t <br />ppplirnti�nNo._'_"_•'__�' - ��__-'. � <br />Q'� C _.."'..AdtL_"'-_"'__'"_'_'_' <br />[11acA - -Q�_"'. __ .__(1__-1___ <br />— � � Strce[ <br />' Z-6�5. _�=b`t'dJ�"___' <br />��,.-- -�- - <br />---- <br />----- <br />.._---- -- ------------------------ <br />-- <br />The wnrk to be e�ecuted by.----- // --� <br />y.� __ ____._._ Plumber <br />_'__"_ -V ' <br />S[atc size ��� ��p• <br />-�I2J'_'_Tap to bc inscrted in lhe �»�in. �j /' <br />� / ,.r <br />� ___._\Ya�crcluscl � _e% i" <br />_ _' � . <br />__.�_'_.._.I3ath j <br />_. _-- .Urinal � �o . <br />___Plain f:mcet insidc � �' <br />���--'�___Side walA �cashcr �fi\` � <br />-_"" _ Hose bib oirtsidc ���� <br />_.Hose bib (or building pwpnses � ���� <br />\ <br />_ _"_ _ _ _' llosc bib insidc <br />.. "_'."_liib tur stable mr.tnining..----- ----'lall_ _.. -'-'- <br />. _ _' . _ _ _ _' Numhcr o( persnns in tnmily. <br />- `�_____Number of raoms in building <br />. y �`` <br />'�'�� !� \ <br />The premi,e= �ire to bc usec as n_.-- --'---"---- <br />.._____________ ____. <br />. __ .______.."____'_.____ <br />'Phcuwner•dthePremises�s_.___'______... _ <br />Thc a8ent ia _ __".____' _.. -'_"'_"___' <br />'____.'._____."__".____"'__'__ <br />'Phis application. ald�auFh sie��«I, shall not be Linding upo❑ thc Ciry•, until ac <br />cepted by 'fhe Superintendenl o( the 1i aler Uci>�rUncoL . <br />-f C .� P .� �/ �1_ A hcant <br />Signed.___'�/-<f=Ll�`e--c_s_'i__'�. ..'�__"_ PP <br />� 1�1�-� � <br />. <br />�� /� Rv ✓r._. _. ____'_____ <br />t�CL(w,V Acecpled"" _(�-...�L'"'_. .�.. � .-__'_'"""Sn:erimm�umi <br />� �' ��� �'��/ .*• <br />