Laserfiche WebLink
-----. .�-�-s�-ir . �=_�-�;��Z-:;�—�� <br /> W.ll.Fnrm�—�600—E.P.Co.-628-21 . . <br /> City of Everett�W$ter Department <br /> AI'PLICATION FOR WATER <br /> All blanks musi be filled in or crossed out <br /> �, �/� <br /> Everelt................ :.- .....1(..i+...?.....:././.:..................19�� <br /> TO TIIE SUPERINTCNUENT OF TH . N ER DEPARTSIGNT: <br /> CITY OF F,TT: <br /> I hereby npply far the use of wnter in nccordnnce�.vith the rules and regu- <br /> Intiona of thc Water Depnrtment, for purposes nnd fixtures slnted below. <br /> During the time that any of the w•ater mains mny be tnken up by renson <br /> of any improvemeuta autliorized by the City of Everett, in or of any street or <br /> alley in W�hich they mny have been laid, the City will not be required to furnish <br /> wnter during tlie progress of such im;irovements to eny consumer whose supply <br /> mny thns Le cut oft, or Le l?inbl o: nny tiamnges for its fnilure so to do. <br /> '� —L 9 <br /> APPlication No.......�.a..................... �� <br /> Block................ .................... Loi....... .. <br /> � � / .......................... Add.................................:�-..� <br /> No................���...�L._l�yLkf�-.......3 trnet <br /> .................................................................................................................................................... <br /> Phe work to be esecuted bY.........-..... ..__......G__...._�... i .1............Plumber <br /> Stnt size of tap. //y f� ���`= � <br /> ..�.�.....Tap to be inserhd in che mnin. ' ; - ,��, <br /> �.......�{'eter closet i �) -�',''��� -K...� <br /> ....... <br /> •.-` 11'A',�; : J�,��.� .� . <br /> • ,.,r <br /> .... ...._....Bnch ... . .�' . <br /> .......`.-....Urinal '. % <br /> . . . -" J- .. .. .___ ,.. <br /> .....�.......Plnin faucet insidc � <br /> -.....^......Side wnik wnsher . <br /> ....�. .....Hosc bib outsidc <br /> ......-......Aosc bib for building purposes <br /> ......-�......Hose bib inside <br /> ..............Bib for stable containing...................stall.................... <br /> ......�........Number of persons in fnmilv <br /> .....�.�........Number of rooms in buildinq ql��� <br /> The premises are to be used as a........... ..(/...L�e.o; <br /> __................ ... ....... . <br /> Thc owner of thc prcr.» s..�.'./..,_... .... .. .�' ��� Q <br /> . . } . . . . Cf:�:cG....... <br /> . The agent is.....................� . ..........�C���.. <br /> .......................... <br /> Thin npplicntion, nithou�h signed, shall not be binding u�on thc City, until � <br /> rtccepted by the Superintendent of the Wnter Dep tment. , <br /> � � � pp � / <br /> Signev..{�.......��E:Y..t!�(1 ............. .it.(�i <br /> ...... �--� Gp�lic � <br /> Gf..__j_.......Y ' <br /> ACCCpLed..�`��....-..r.�..�._..102........... .BY.��_7.....1.(l.:L:�/..,�.... <br /> L'� .�.... � <br />