Laserfiche WebLink
W. p. Form : I 500 d. i- I 7 G P. •• �' <br />CITV OF EVERETT==VVater Department <br />Application for Water <br />All blanks mus[ bc filled in ar crossed nut <br />EeereU.._ __ �/�20 <br />----------- - - ---._�9�9__. <br />'PO THE SUPEklh1'ENUIiN1• OF TH6 NA7'GR DEPAR7'MENT, <br />CI7'Y OP GY6RETT: <br />I hereby app�y (or the use nf water in ;iccorclance with �he rtdes and regula� <br />tiuns uf 7'he Water Departm�nl. for purpnses ;md fixtures statcd belon•. <br />UurinC Ihe [ime Iha[ any of the water mains may be laAen up by rcason o( <br />nny improvements nuthariud Lr [he City nf iiecre�t, in or n( any strcet ar alley in <br />which they maY have been laid, thc CiU' wiP. nol br rcquired to furnisli w�a[er durinF <br />�he pru�rcss nf such improvements to any c��n.umrr a•hnse supply may thcs be cut <br />nff. nf be liablc (nr any damagcs (nr its faiL,re so to do. <br />/' - <br />APplicntinn No.._��f .1_� _._ <br />� "_ '__ <br />ni�,��: _- -�'� Z---i.�n_ �z�.[s 9`.L6.__,�ad--- <br />i <br />— — — <br />���.._.._._.�_7�-1 - - ----- -- -- ---..s«e�� <br />---- --�- ------ <br />------- <br />'fhe tvork in he c�icuteJ by_ �_�h�-� �1� �_ -' __'_._„_ Plumber <br />St/ntc sizc nf tap. . � � '� <br />°h-l.� _'_'_Tan to 6e inserlcd ir. Ihe main. .� <br />0 0.. �. <br />-�----.`'✓aterdnsrt �� / <br />._._Ralh � � ,F�, . <br />--- .Urinal �v� \ 1, \ .,h.�. <br />'_Plain (aucc� insidc f� ' ^ p. �1' ,� <br />_..__Side walk washer '4 . / ��������1:- � ��' <br />. _.._Hose bib nutside '' � � � (e,Q � ',i <br />� <br />._.__'.'__lirsc6ibfarbuildingpurpnsea � •.�bD �•+��,� .� ;t <br />.i r�" �; <br />""'"""Hnsc bib ir.sidC � j61':rf�r� r � � <br />---"'_'__Rib:urstablecontainin'___.____ ����°f <br />1. _.sL�ll__.___ (i_ <br />_ -.__'_Nur.ibcro(persnnsinLunily `+:Or � <br />._y- <br />--l--'--'Nu nbrr n( rooms in 6uilding <br />The premises are to be uscd as a___ _. <br />_ _______....... <br />7'hc ownernf! _.-_--_.'_"' ' <br />_"" <br />te premises is _____. _ <br />____-_-.-. <br />."___'._'_' <br />___""" <br />ic aticnt is . ___. <br />"_' <br />9'his applicalio��. althougl� signed. shall not bc binJing upu❑ [hc CiN•, unlil ao <br />cepted 6y 'Che Suporinlend nt o( thc \1':rty�j �U,cparUncut. <br />Signed _�/ —, <br />_ _"' _ _ `! [' �- a� ��l___" _ _ _ _ _' qpplira <br />- ___'.___.__. <br />Accl'pt�_. " � <br />_--- ' <br />— _._I 1 <br />.�-� � �� ------- - ----- <br />5�..���,�� �, - <br />.�, . � . -�v tr.�Is. <br />