Laserfiche WebLink
_ � //i� �G-���- i - � ..- � _, . <br /> k'. D. Forn � I500 �-1-17 G.R • . <br /> CITY OF.EVERETT==Water Department <br /> Application for Water <br /> Ail blanks must be filled in or crossed nut <br /> Gverett._`!�.'__:'. �--"-----191."-'— <br /> (� <br /> TO 'CI1E SUPIiRINTENDiiN7'OF�7 HB WqTER DEPARTMEMI', � <br /> CITY OF E�lERETT: <br /> I 6ereLy aPPly(or the use of water in acconlance with Ns rules and rcguln� <br /> tiuns of 1'he Waler Departm:•nt. tor purposes :md itztures stated belo�v. <br /> Durinq [he [ime that auy nf thc a•ater mains may be takcn up by reason o( <br /> anF improvements autharized b�� thr Cily o( lieerett in or o( any sircet ur nlley in <br /> a�hich[hey m;t7' have been laid. the Citl' �vill no[6c requircd to h�rnish water during <br /> �he prn�ress of such improve;nenls tu nny cansumer �chnse gpN�t�p p���.�h�G �C CpI <br /> '�(f. �n�bc 1ia61c(or nny dam;�ges for ils fiilure so to dn. <br /> APPlirntinn Nu.'_'_' <br /> --y�i------- <br /> ui„��: __/_g9 _-- i.����-� _/30 � 4,� � <br /> -- -- <br /> �i --.---,�aa_�__<.--- <br /> n��,.___ ----' — <br /> . . _.__!�! ' '_'."'_'. Srrcet <br /> / <br /> ..._..'_"""""" <br /> ."'_'__"'___'"_ .L._�'c^_•' �-1�11.\ � <br /> ""_"""'""""_"_"""""' <br /> 'fhe wnrk to be esecuted by______' -""-" � <br /> _'_"'__ __"__._'_.__'__ Plum6rr <br /> __'___ <br /> Sl��le/s)'ae nf lap. <br /> -�-�--�-�--.'Pap to be inttrteJ in the main. �/ / !�O' <br /> ------_1V:uerclnset �� d <br /> _"_'___.I3alh <br /> --� .Urinal <br /> --�__Plain faucet insidc <br /> �--"-'_.Sidc walA washcr <br /> .__.__._1{nsc bib outsidc <br /> �--"--_Hosr bib fa�builtling purposcs <br /> �----_Hosc bib insidc <br /> _.'_"."'13ib(orstablccontaining._______.___s1:dL_.._'_ ' <br /> ---------Numbcr of persuns in fnmily <br /> -'-�"-'Number nf rooms in 6uildin <br /> 'Phe premises arc to be used as a. _.,__ <br /> The mvner of lhc premises is ____ .'._'_'_ '�"-'�'..'_ .'-"' <br /> ��� <br /> -.-�. __�tir.�-u/. <br /> T��e,Kem �._------�- ----------� <br /> . This :�pplicatinn.allhouqh s+�;ned, shall nul bc bindinq upon thc Citp. until nc <br /> �.eceptrd by 7'hc Superimendenl a(Ihe lJV�/nter Ueparlment. <br /> �_y.�� ' . Signed_��/Y}_ %%�� �j`� � <br /> � �- �/, �--�- i -'-�1-Z%1-�/?- <br /> �� � �:•,.. _ ��fj-__'� By _ . /�--Ar"' an <br /> , t <br /> _. -. <br /> ,1 ��' v . � -.'L._____ <br /> i. kK` <br /> c,n�n[In f-n1 <br /> �� <br />