Laserfiche WebLink
� 3--� ��" h-"'� <br /> � � �l-�0-3� � . �.Yi-t,-.. <br /> w.o.���.m�- tcoo--e.r.co.—�:c.z+ ' . <br /> City of Everett-�Water Depai'tment <br /> APPLICATICN FOR WATER <br /> AII b'anks must Ue filled in or crassed out <br /> �verclt,...........�G'��.�..................19� <br /> TO TIIP SUI'�RINTCNDENCITY OP liVEItF.TT;DEPA1tTnIlNT: � <br /> I herebp nPP�B for tlie ttse of tcnter in accordnnce ��'�t6 lhe rules nnd regu- <br /> Intions of the R'uter Departntent, for purpnses and tistuics slnled 6clow. <br /> lluring the time thnt nny ot the watcr mnins may be lnken up bY rensun <br /> of nny impro�'ements nuthorized by the City at E��crett, in or ot nny strcet or <br /> alley in ��'hich thec may hnec Lcen laid, the City �vill not 6e mquired tu furnish <br /> mnp t}ms,be cut off,or bc 1q nLlc for�n�uy dnu uEcs�for�Ytsnfi ilurcrso�losdo UnP�Y <br /> Applicntion No..�.�/��,......-........ <br /> B t o c k........................................ '�`-- <br /> Lot..............._..___.........._.. Add.._....._ ..._.........._......._... <br /> � ��_�7l/1�/!,;...........Street <br /> xo........ ....d_.�... <br /> _......._...._.._.........._.............._........___........__..._........ ._ .... <br /> __........................... <br /> The wark to Ue esecuted by_.._. __._........ . ��Plup'J��r <br /> ................ .. �/ <br /> State eize o[ tnp. C.�//J <br /> .,��...'.`f,....Tap to bc inscrted in the mnin. " n �� i,3�C2— <br /> ��oG ,b/� <br /> ................��'nlcr closet <br /> ................B n t h <br /> ................Urin nl � <br /> ..._.._........Plnin faucet inside � <br /> ................Sidc walk «•a,Ucr C : <br /> ._.............Ilusc bib oulside r . .. - . <br /> ................Hose bib for 6uildinq purpnses � <br /> % <br /> ................1Iosc bib insidc <br /> ................Bib for stable containing....................stnll.................... <br /> ................Num6cr of nersons in tamily <br /> .............._NumLer of rooms in building <br /> The premises nre to be used us n...........................__. .._._.__._....._._................_._. <br /> The owner of the Premises is............._...............__.. ............._.................................. <br /> iF,c agent is.................................._......_...................._._..........._.................................... <br /> �•,is npplicntion, allhovgh signed, shnll not bc binding upon thc City, until <br /> , �� •:1 by the Superintende� f lhe Natcr DegPrtment. � <br /> � l7 I �� �� � <br /> Si6ned............ . ��/ �C.Le� . ...�;...!'r"47.' .p cxit <br /> .. .................._._......... .. _........ .... <br /> �. •iR��d....-�.�...�..ii/.._L....19'�d By...�� _.. .. � . ... ........ �. <br /> . ent <br />