Laserfiche WebLink
`i�.�c-�� �;..�,_:,, ,,, , .._.�_�..v��� �_ a � - --r .. <br />� . , . .. <br />{{'. U. Form J-1300—C.P.I'o.—f.:G-2� ' <br />City of Everett�--Water Department <br />APPLICATION FOR W.ATER <br />All blanks must bc filled in or crossed out <br />livcrett. ...................._ ��.. 5.............................192�.. <br />TO TIIE SUPERINTCNllGN'C OF THG R'ATGR DtiPAIIT\SE\T: <br />C1TY OF BVERtiTT: <br />I Lereby� npp11' for the use � f n:�ter in necard:mce with the niles �nd Trgu- <br />I¢lions of thc Wnter Depnrtment, for purpuses nnd fis!ures stated bclo�v. <br />lluring thc time thnt nny of the �cater nu�ins may 6e tnken up Uy rcason <br />oC nny imprurentents nulhariud Ly lhc City of I3vcrett, in or oT nny strcet or <br />nllcy in which thcy ivay hn�•c becn lnid, thc Cily �rill not Le required to furnish <br />�r+�lor during Uie p�rogress oC such improvements to any consumer tcUose supply <br />mng lhus Le cut aff, ot be linLle for :my dm;:nges for ils fnilure so lo do. <br />Applicnlion No .............._�... .. r%�� 'J <br />...... ' ° ' .................. <br />,.. ... .. Lot.......�%...`.�....v � . Add._........._....._ ..............._... <br />fi lock ................. <br />....................... ............... <br />No...I..C'� � ' t.!..':.. �-...L.f..::.'_S?....R�.�..Li..... ......_.....Strcet <br />....._........_ ._......_..._ ...................__..................._........................_._.. ..__.............................. <br />Ti�e �cork to be eseeuted Up ...................__.._._._._�.._.._.__'/..........� luml�cr � <br />st, c s�ze ot tar. �8-0—. �=� N 'r"—`'eP ; <br />�l�'�"''_T�� co 6c inserted in thc mni������ ����-r�f�1 ��. <br />--:.�t�nc«• �to��c �� ' �, <br />J�o-�-�— �""`.JL�� '' <br />'._.._........Bnth �� �, �J<-<�, \ <br />....Urinnl e ° �CQt . <br />�....Plnin fnucet insidc <br />3/�•-�5— P <br />....-_........Sidc �calk �casher . .�. i )- ,1 <br />.�......IIose Uib outsidc "I -...'L � � � � <br />..._..— ..-71osc bib tor UuilJing purposes '"` �."'�`IV . p� <br />................IIosc biU insiJe . . ! <br />................Bib for slnblc contnining....................stnll...i................ � . <br />.... .._IQumbcr o[ pet_�or,.� in fnmily l 1 � <br />.._.... .. Numbcr of ruoms in Uuildi���.•... <br />F . <br />The premises nre to be used as n..... ._._ ...... __ _.. .... , <br />T!ie owncr of the prmnises is......._. ._. ....:..... . ` <br />�...... -.. . � <br />Thc�gent is ................................................................................................................ ... ' <br />� 'Phis r.PP�icalion, nithaugL si�;ned, ahnll not be binding upon tlie City, untii <br />�. -���,r �.d bp the Super1i'nt'endcnt �o}f U e Wn�tejr Depnr4nent. <br />� �igned..�/// ��.....q....�:3 �'lL�G�.L�/i?�i..__ .,.�.......... Applicnnt <br />:,_ .l. __......103� ( IIy.....� . . <br />. . . . ...._ .................... <br />- . r "perintendent <br />