Laserfiche WebLink
C'N'!� '7-/'"2J //I <br /> ' .r . .-. <br /> V,'. D. Form� ISOU 2.i-17 G.F.� <br /> CITY OF EVERETT�=Water Department <br /> Application for Water <br /> :VI hlnnks musl be filled in or crasscd nut <br /> Everet4 -- _.__"--..-__'_,/�__._______..191 -�_.--- <br /> TO THF SUPGRINTENDI3\9' OF Tlili �1'A1'ER UIiCARTMlitdl', <br /> Q'I'S OI� E`IIiRETT: <br /> I hcreb>'apI>ly (or Ihe us^of v�aler in accnrAance w�ilh the rules and reKula� <br /> tinn;u(The Naecr Uepnrtmmt, Ior purposes �nd listures slatrd bclnw. <br /> purin�+ the timc that:u»• u(thc aater mains may be tnken up by reasnn of <br /> � , any improvements authorized Ly tim Ci1y u(F:�'crr�lt.in ��r�( any strcrt ��t alley in <br /> ���hich LheY���^Y have becn laid. the l'ity aill nnt 6e requircd tu furnisli water durinii <br /> �ff.rc�be liable(or'an9�r�ma'��an(nr'its'fail�ressu�to���hosC supply may thus be n�l <br /> ApPlicntiun Nu.__�.-`-�J-�---'�---�--- <br /> '7 3�3- L„�_�=- 3 z"----naa — — <br /> is��,��: --- <br /> . , <br /> — - <br /> J2./.2_ .cc_c:t� � ---------.;.strect <br /> No.--- _ . " - . <br /> ____ __--_' <br /> . _'______. <br /> _____. <br /> ___'_ _____.' ' <br /> .__'_' _.._.__ __.'__ /; � Q ��_� <br /> Ll � '_`_'^�_ � .._ _._._. Plumber <br /> 'fhe w'ark ln bc czccu�cd by .---' '-'--...- <br /> s�,��5�:���r„�. „ <br /> . . �r �, c. '-.. � <br /> - �y_'_T�p tn be inscrtcd in thc main. �.F <br /> _____ _._Watereloset ��-� " <br /> ._Ilath -._.. _ <br /> _._. ._ e,...;--._"- <br /> __' __ .Urinal . £� -��: <br /> __'_____.Plain (aucetinsidc ' ' � <br /> , _'3(?-�� ; W�;� <br /> ___'_'__.Sidc a•alk aashcr � . -� ,f�7� /�'�- �Y; <br /> _._Hose bil�outsidc „ <br /> �`i.����'1`��r, <br /> _____- � _ � � <br /> _I losc bib(or building p��rpnses ' i <br /> "__'_' � i f'. , � <br /> � r.. <br /> _____.._.HnscUibinsidc� +�?�, 1 <br /> 1 <br /> __"13ibforstablecuntaininf:---------st�Il;- --- 1_� / <br /> � <br /> ___" \ <br /> . "_Nmnbcr o(Prr:ons in (amily .\p ._ . <br /> _. - <br /> 4 1?'�.'� <br /> __`�'____Nwnber o(rnnms in building �-�� <br /> The➢remises are tn be used as a___. ___.'._'__..'..... <br /> _.______..__" _"" <br /> The owner of the premisce is ___.-________. __ <br /> _._...... __ ._____._". <br /> The aRenl.is ._______._._. __'._______._ '.' <br /> . ._ __._ _____ . . ___'___._ <br /> � <br /> 'Phis npPlication.allhnugl� siynrd.shall not b�Linding un���� the Cit)'. unlil.o i <br /> cepted by TLe Superintendent of'the9�,�Pnte rpartmen�. / <br /> �i -� � G �'.'"____Aiilicant / <br /> Sio- �� ✓";"� .. - ._. i I <br /> . �,,�_� - 1�ni% ISyY� 1�C� -- . . .� --....,I___� <br /> � ' ' <br /> � %, , !� :� - i-t . 2 .. . ,:� <br />