Laserfiche WebLink
o' <br /> �TiC.r'/�'CJ=f'".j �!��, ' �t�t�A� /1- ?i,2 � �I" � <br /> W.R Forn��-I6nn-}�Rfo.G-:6�Y� , <br /> City of Everett�Water Department <br /> APPLICATION FOR WATER <br /> Alf Llnnks must be filled i� or crossed out <br /> i— <br /> Everett,.........._c..�:�../�.J''-�}...'7��. ....�_..:..............192�-- <br /> TO 'CHE SUPERIN�PENllENT OF THE \YA FT .R DEpARTbiE2dT: <br /> CITY OF EVER�TT: <br /> I hereby npply for the use of water in uccordance with the rules and regu- <br /> Intions of the Nater Department, for purpo=es nnd fixtures stated belo�v. <br /> During the time that any of the wnter mnins may be taken up by renson <br /> of sny improvements euthorized by the City of Eeerett, in or of any etreet or <br /> nlley in which they may '�nve bcen 1¢id, the City will not be required to furniah <br /> �vater durin� the progress of such im�,irovements ta eny consumer whose supply <br /> mny thus bc cut off, or be qliable for any dmm�ges tor its fnilure so to do. � <br /> Application Nn......._.c.�.....,/.,..a�,,._�..........^ �j6p � � <br /> Hlock......:��.�.r................... Lot...........�........................ Add.._......... .... <br /> ..__.._............... <br /> xo.......l.�`:/ .3....... .: .... .... .... _._—=.,:....._...............sc�e <br /> ...........................,................................................................................. ........ ........................... <br /> The work to be executed by.__._..(/ U ,�L[.J'flLi.............Plumber <br /> State aize of tap. ��o <br /> - i2-..........Tap to be inserted in the main. � , a � <br /> ....�.........Nater closet '' i�� �/ <br /> ...I..........Bath � <br /> _ , ,� <br /> ................U r m a l <br /> `....._..Plain f¢ucet inside <br /> ...-...-.�::.Side w¢lk washer <br /> � <br /> '—"�"-��--.Hose Lih oulsidc <br /> ............... <br /> .._--.�.:.....Hose bib for building purposes , <br /> i <br /> ._—:-.....Hase bib inside <br /> ..'._..-.-...:..Bib for stnble containin I�� <br /> g....................stnll.................... <br /> ...-.r�r.::....Number ot persons in fnmily <br /> ....��-.....Number of rooms in building� <br /> The premises are to be used ns n........... .... <br /> .........� . <br /> , . .. . .............. <br /> The owner of the premises is....�„rl.�a........ <br /> _.. . . <br /> . . . .... .. .............. <br /> Thengent ie................................................................................................ <br /> _ ...................... <br /> � ���'•. npplication, although signed, shell not be Linding upon the City, until <br /> �• -' 1 y the Superi�tendent of t6e Wnter Depnrtment. <br /> i / <br /> Signed..._��L��....�1�(�l...... �!�.�n�L...:"... ...Appliwnt <br /> . <br /> .�..... <br /> ...-�.i�:..�q...]'J2...... B � ._ <br /> / Y. . .. ... ... <br /> .... ............................... <br /> intendent <br />