Laserfiche WebLink
ru"`''td i�-i2- ' /' l� �. �.. _ - - , <br /> ,i - _ /r <br /> • V <br /> w.u.e��m� iR00—EP.Co.-426-RI � � <br /> City of Everett�Watei� Depai•tment <br /> APPLICATION FOR WATER <br /> All blanks muat Le filled in or croased out <br /> liverett,.........._......._..............f/��..._..._............19'j2'....� . <br /> TO TIIL SUJ'EI2INTENDEYT OP TIiP �CATER DF.PAP.TMENT: <br /> CITY OF IsVERETT: <br /> I hereby nppll' fnr the use of u•xlcr in .��•cr.rdanre �rith the �vlr!� and Tcgu- <br /> Iatione of the �Fatcr Department, for pwpoFcs nnd fiz'urea etated bslow. <br /> During the time tFat eny of the u�atcr mnim� mny be tnken vp L} rcanon <br /> ul any ir;i �rocements eulhm'ized by Lhe City nC I?��rrett; in or n} nny atreet ot <br /> e�Ilry in w�irh thcy mup �hnve bern lnid, thc City w�ill not he required Lo furniah <br /> u�atcr during the progre=e nf Fuch improvemanls to nny rnneumer whose su,ply <br /> may thue Lc rut off, or t�e linble for nny dnmuqes for ite feilurc ao to do. <br /> .4pplieation No....__`_J�.�.�..7....._.......... <br /> v <br /> IIlock ...... ...�7.. . . Lot .....Z- � .......... Add....__ . _ . . <br /> _.. . . ._.._.. ... <br /> No.. �G.z:U .. ..�I�c t� . .........3treet <br /> _.. __.. ...... ......_.__... .. . _ _ ......... . _ _...........__....... ... ...........___....__.... � <br /> Thc work to be executed by... _ _...__. .... ....... . . .._. .._.. .............. ......Plumber � <br /> Stn size of tnp. —��2L�r��, _ <br /> 3�r.��..Tnp to be inxerted in the mnin. <br /> _-."_\.A'nler closet �� ', / �i " o <br /> . ............. <br /> Iieth � <br /> .��.-:..-..-:�.:-:II�n e I <br /> `.�.. _.—Plnin faur.�t inside <br /> . � - -Side u�elk wexhcr � � � <br /> __ � . <br /> . . . ......liose bib oulaide 6 1 P r�f"�I. �. r � ' �n.Q), "! <br /> . . ...�Inee bib for Luildin ��...nses.........elell.......1,�.., 1 <br /> ... __......_ilose Lib insidc ' �li�P'� <br /> --._ __ (�'. <br /> 1 <br /> . ._._........Bib for staLle contn�nin �. <br /> -- '- <br /> .. __.........A'umbcr �f peraone in fnmily <br /> -----.._.....NumUer of ronme in build�ir7�' , �" <br /> 7'hc Preminee ur�� to be veed es e./L�a�t..i_t',Lr.�_`�'�xa�_�f��p <br /> The nwner of LLe premieea fa......._.. _._ _. _. ._. . . �?.t <br /> . .. _. . .___......__. ._.._. . <br /> Thenqent ie.............................................. .... _. _..... .. __ _. _.....__.............._.......... <br /> Thin applicntiun, nithouch Fi�ned, ehall not be binding upon the City, nnlil <br /> acrept�d by the SuEeuntendcnt of Lhe W .cr L�epnrtment <br /> i /,/ <br /> Signe���wwAl�-�. 7 �A/4'lY�RL�1 d��-�F/t�pnP�nt <br /> � � <br /> � � !i <br /> Acecpted-...�_�'�! -.�.�_..192 .... By.LG-"./kYF ,�.�_�_if,!�'/ <br /> i � -�. Sy�fndant.... <br /> . <br /> �, <br />