Laserfiche WebLink
2 j'Ur'q �/���'vi,i'� �=�� �-b'" •�' � <br /> W.D.Form�-7l00—E.P.Co.-6•:G�21 <br /> Ciry of Everett�Water Department <br /> APl'I.ICATION FOR WATER <br /> All binnka must be filled in ot crossed out <br /> Everett,..............�/..�s�l.l..�Gf..�.(.......�.l�.......1�J?�,� <br /> TO TIiE SUPERINTENDENT OF TEIE R'ATER DEPARTMENT: <br /> CITY OF EVERETT: <br /> I hereby npply for the use o[wnter in nccordnnce with the rules nnd regu- <br /> lations of the R'ater Depurtment, for purposes nnd fistures stated bela�v. <br /> During the time that nny of the wnter mnins mny be tnken up by reason <br /> of any improvements authorized by the City of Everett, in or of nny strcet or <br /> alley in which they mny heve becn laid, the Citp will not be rnquired to furnish <br /> wnter during the progress of auch improvements to any consumer whose suPP�Y <br /> mny thus br cut oH, or be linble fSo nny dnmages for its fuilure ao lo do. <br /> Applicetion No.......,i....�. .�1....p,.. .... / // <br /> O /3s / <br /> Block.............�_i�..~.�............. I.ot..................... ..... ....... Add...h:k:.:;:��..... �........ ..... <br /> No......�Q..�.�.................._..... .. ........ .... ...Street <br /> ....�.1`�_�':�..K.�:..t.'..�`_...................... <br /> The work to be esecuted by........... ... . . . . ...�.. ...... . . �ber <br /> Sta s�ze of tnp. �/�–,�� /p_\ a � <br /> �.r••��a <br /> ��t.,r�...TaP co 6e insert��� the m�n.� MAN 2 S 1g3� <br /> ....../.......n'nter closet �� �t A� �r <br /> ......�.......Dach <br /> ..._...-.....Urinnl � •.�.'.–..+«. <br /> .......�,...Pinin faucet inside � <br /> ......�.-..Side wnik wnsher <br /> ......�.......Hose bib outside <br /> ........�....Hase bib for building purposes <br /> .........^....Hose bib insidc <br /> .........—...Bib for stable containing....................stall.................... <br /> .......�.....Number uf persons in fnndly <br /> .....,�.�..Number of raoms in building �/y7 <br /> The premises are to be used as a............._(l..�,.L/�.:.......................... ... <br /> ............ <br /> The owner of the r isee is........ G..;.'.../�,,,�/[ . ...(�� .................... <br /> The ngent is............. .. .. .. ....¢:....._�l4�`..��.................y'.......... <br /> This applicntion, a thou igned, s ot be bi•.dinn u on the Cit until <br /> apted by the Superinten of.the nter/D pnrtment. <br /> ' Signed.......................... . . ...R�." �/�..........................�Applicunt <br /> �ted....�..'.,�..�......1 '9.�....1 By.....Z.... .n'I'Y...��� <br /> �u �/ ent <br /> .� <br />