Laserfiche WebLink
!'./VlD- i�- ��- -�''- -6, �, . <br /> � _ ,_ - . C,v;-?� _.� ; 2. , � <br /> K'. D. Fnrm Y �500 J-I-17 C.P. ' - " <br /> CITY OF EVERETT�=Water Department <br /> Application �'or Water <br /> All binnks must be filled in or cmased uut <br /> Isrerett._._'. _._'__ o � �'_"___'1�_� <br /> 'PU THE SUPF.RIN7'ENUE\'1'nF 1'HE NATER UEPAR'fMEKT, <br /> . CI7'\'OF E`JERETT: . <br /> - I hrreby apply (r�r the use of n•ater in ;�ccordance w•i[h the rules nnd regul;�. <br /> tiun;n(The Water Dep:�rtm=nt, for pwposes and fixtures stated belo�v. <br /> Uurinq thc time that any nf the water mains may be taken up by reason o( <br /> �vhich I��y nay have 6eenLlai<I,�thc C iy�cill not he requiredr«furmshewater�during <br /> the prn{�mss n(such impmvemen[s to ang consumer whose suppW m�p thus be cut <br /> nff,ur be liablc(nr any damakcy for its failure su to do. <br /> Applicntion Nn.__���.s <br /> '"_ "'_ ' <br /> Hlock ____�_�'� ._LcL_� __ .Add..�__'.'_�- - <br /> .- ------- � <br /> . . �--`--. . <br /> -- �,,. -- - -/! _3�.�----- - - « ' <br /> --V-`, F��-=,�_:s-�_-- ---�' <br /> ----------------- ------ <br /> 'Phe a�ork tn be esecuteJ by______._ ___'_____' Plumber <br /> '-----'- '---------- <br /> Statc sizc uf tap. <br /> ����___�r�� io�inserted in the main. <br /> _'-�-..__Wnter clnset <br /> '_"_'._.Rath <br /> __...___ .ltrinnl <br /> _.______Plnin faucrt insiJc <br /> -.._.__..Side aalk n•asher � �- � �� � , <br /> -_----'_Hosebibnutside '� � <br /> """-_..Hose hib (ur building purpnses <br /> '-"""_Hose bib inside <br /> '_"""_'f3ibforstablecontaining.___._. ._.stnlL_'.__"_ . . . <br /> '__'._.__.Numbcraf peranns in family � . <br /> ---.'-""Numberuf roomc in building <br /> The Premises�u�c to bc usrd as a_.__.�.�. ' <br /> "'_ ' '_"_"_"_'__" _""' <br /> 7'he a�ener uf lhe premises is ""_" <br /> ___-'_-'."__'_____"_'_'___'__"___"_ <br /> 'Phea;tentis ___.___... <br /> ._ .__"_'__'____ ._... _ .'_."_""_.____'_."'_ <br /> 'Phis applicatiun. :�Ithnugh signed.shall nut bc bindin� tq�nn thc City, until nc <br /> cePled by'Che Superin�endent uf Ihe 1Vnler Ueparuucnt. <br /> i � ^ {� <br /> SiRned .f"r'--(_yL�. / l <br /> 1------ Applicant <br /> � �y ' <br /> _ _' '__'____ <br /> AtCcplc(�__�_:—C.f"-"'_lyl}Z C T . : ' <br /> �✓" ' " <br /> �".Suaolmm�!ent '- i. <br /> C <br />