Laserfiche WebLink
- '_ ' ' " v. 1%-1J:�_ . . " ✓d !Y7'1'L <br /> -R��UAs, .. <br /> \( � _ � <br /> ..\V.D.I'nrya A16an—E.CCo.-G-2G-21 � 'J : <br /> , <br /> � � Cit,y of Everett-�W�iter Depai�tinent <br /> APP�,IC.ATION FOR W.ATER <br /> .11l binnks must bc filled in or crossed out <br /> Y/�/_ > " ...���_.... <br /> evc�cu........... ..... ...?......................................... <br /> TO TIII: SUPliRINTI:NDENT Or TIIE lF':\'CGR DEPAI2T➢IPN'P: <br /> C1TY" Or �VF:I2BTT: <br /> I hercUc nppl>• for the ase of w�ater in nccorilnnce aith lhe rules nnd regu- <br /> lutiuns of thc \Vntcr Dep:vtment, tor purpuses +md fixhu�es sinted belcw. <br /> During the time th:tt nnp of thc water m��ins mny be taken up Ly renson <br /> of nnY ��»Procements authuriud Uy tLc City of Pverett, in or of nm� sLrcet or <br /> nlle�• in «•hicL tlicy map hn��c been lnid, thc City �vill no[ bc required lo furnisl� <br /> water during fhe progress of such imP�'ocements to nny cun�utner whose supply <br /> ; mc�y tlws Uc :ut off, or Lc/l�i¢blc fo, uny dmm�g�s ior its fnilure so to <lo. <br /> i APPlicntion No....��.lY..�.............._.. ....:....:...._. <br /> i <br /> 1 i_ �. � �,. � . <br /> 61ock..i����.I. ......... .. . Lot........._.......... ._.......__.. Add.._............_..;.... + <br /> IQo..�../�. .�.�... ...�iL..l[...a_C..���..... .....Strcet , <br /> _ /i � �� <br /> C?( _.C�.�.�tn�•cc.....�.v..-c.Lt.......,�ca-r«.«........,1':,..:...,...,_<_.�:�.^.:.c.......... <br /> � TLc ��•ork to be executed Uy........_....,_��....� ] -....._.............Plmnber <br /> ( /S .� -.. <br /> I Stnte size of tnp. <br /> � ._�l.^�..._Tap to be inser.ed in the nmin. <br /> � ,,._�p......._R'ntcr closet <br /> ' ....�1.........Bnth <br /> �� .....�.......Utinal <br /> ' �......-.Pl:�in tnucet insidc � " � <br /> ......_ `� . <br /> �.........Sidc �cnik �cnsher -'i <br /> � ...�.........Hose UiU ouLciric ���" � <br /> Hose Lib fur building purpns^s <br /> ...�..'�....�..Iiose bib inside <br /> ................11ib for stable contnining....................stall.................... <br /> ................Numbcr of persons in fnmily <br /> ................A'umUer of rooms in building ,}� . <br /> The Premises are to be used as n..... ..._ .i1`.':C-�,.,.C.C�S.:-�:..t._4�............. <br /> Tlie owncr of tlw Preciises is.......�...•%.i'l L�.."..a::._:............................... <br /> ngentis..............................................................................................:...................... <br /> -_ �nnlicntian, nithough signed, :hnll not Uc Linding �pon tl�e CiLy, until <br /> ;� • � . _ne Superintwende1nt of thc \Vntcr Depnranent. <br /> '�.�'�.:-�'. 'ignc�....il..�../�`��.�)v.4TI..�......................... . .: . ... . .....:2.....Applicant/ <br /> ,.. <br /> ... <br /> . . `.}��:;, / <br /> . °" (, �' ' — .......����.'....1'J2.._.. By"� � �/ �, <br /> .. .. ..._........................ <br /> �..�•:` .. .�......� � � _7�,` perintenlent <br /> � • � <br />