Laserfiche WebLink
<,,�x-� ,�- �z a�- ir �.�.�=�1' c- �s - ; , /�— <br /> . � • , <br /> 10.I).Porm 4 -4600—E.P.Cu.—G-2G-2< <br /> City of Everettr—Water Depai'tment <br /> APPT�ICATION FOR �vT ATER <br /> � All Ulzmks must bc filled in or crossed aut <br /> 1i / <br /> �vcrett�............................��J ...�1�................19°...... <br /> TO TIIP gUPERIN1tiNDE�`CITY OI' �V 2LTT;D����tTD1EN'P: <br /> I i.m�eby npPly for ihe use oC�.c:der in aiccarilance with the rules nnd regu- <br /> lations of the \l'nter Depm•tment, fcr Pmposes tmd fistures stnted 6clo���. <br /> Uuring thc timc thnt nnp af thc ��•:�tcr mnins mnv 6c tnken uP Ly rcnson <br /> of an�� improvements nuthnrize�.l hy thc CitY n[ Geerett, in or o[ nny atrcet or <br /> nlley in which they m��y hnce Lcen Inid, thc City will not bc required to furnisli <br /> �t•nter dw•in6 the Progress of sUch imP�'��'ements ta nny consumer wUose suPP�Y <br /> may tLus be cnt ott, or be liabl9e for anY damu6es tur its fnilure so to do. <br /> Applicntian No..... ".��...�/.f................... '.Z(a 9� <br /> Block.................._�...1..J.... ......... _ . Add....,.�:t ..l:l�.{�,�.•........... <br /> �i J �, V <br /> No......../..�...Q...7..._.... _ .....�'W"..............Street <br /> / <br /> ........ ......._...__............................... ....................__._. . <br /> The work to be esecuted by. � �� �'�l .... . ..__. ......._....._.._.....Plmnber <br /> ._...._,..... .....�� <br /> + �� <br /> St� sizc of tnp. 1.�� � � Jj 1 <br /> �'�' fi t <br /> .�.Z..._Tnp to Ue inscrted in lh .�inin. �`j, <br /> _.....�Vntcr cioset ��jy FIEy�ETT ATER UEF� <br /> ................Bn[h O5'...... � <br /> _ , ..�......... <br /> ................Urmal ........_.�..... . <br /> _.... <br /> ._..Z.....Plnin fuucet insidc . ' <br /> .__....-...Sidc «•alh ���nshcr <br /> .._../........Ilosc bib oulsidc <br /> _....'-......FIose bib for builling t�m�pus�s � <br /> .,_....—._fiose bib inside <br /> .......—......Bib for stnble containinG...................slnll....._.........._. • <br /> N/ umbcr of persons in family <br /> ......L�..f......Number of rooms in bvilding <br /> The premises are to be used ne n............ . . ... �y_J..._.... � �../...�/.}. ........... <br /> The owncr of the premises i�✓.��P. .�. . ..�i</���w�'f�� <br /> Thengent is....._............................................................................................................... <br /> This apP��cntion, although signed, shnll not Uc binding uPon thc City, until , <br /> :epted Ly the Superintendcnt ot the \Ynter Depnrtment. <br /> ! � r�� �� � �y �1 - PP�� nt ��' <br /> Signc .....(.�.���...�i..G4/!�!�u".k. ._ ..Gx.. ........� <br /> �ni��..�:Lz~�/.....isz...... nr... ...�fG..�.. .1��:. ...........// <br /> / . . endent 4 <br /> % s <br />