Laserfiche WebLink
F.;.r_-._ ; .y_ .., .- f <br /> . i 4 r+�i�'7J 7— *-`_y"f.�;' . <br /> \v. D Fcrm a I50o ]d-V C.P. <br /> CITY OF EVERETT-=Water Departme��t <br /> Applica�ion for Water � <br /> All blanks muat be llled in or crossed nut <br /> F.eeretL..._ �� <br /> / .____ __"___._.__' _'_ __.__t _ '_' <br /> TO 'fHE SUPIiRIN7'ENDIiN'I'Oy'' 1F WqTF.R DEPARTMENT. <br /> r) DF F,9ERE7'T: <br /> I hereby apply (or the use o(wa(er in ;¢cordance with Ihe rules and regula- <br /> tinns u('Phc W��[er U.parunen4 for purpnses and fixtures st�teJ bclow. <br /> During the tinm �hat anr n(ihe w•;rter mains nta�•be taken up by renson o( <br /> :my improvemen(s authorizcd bp thc City o( Everett,in or o( nnp strcel or nllc}• in <br /> which Ihey map have hecn I��id, the Cin•wi11 nnt be required lo Wrnish wa[er during <br /> [he prnKress a(such improvrments to any cnnsumer whnse supply mny thus be cut <br /> nit,or bc liable for anY rycinmag`cs for itx f;iilurr sn tu dn. <br /> :lpplicn[inn Nn.__J--�Q-�"'____' <br /> BIncA _.___ .__/._ __. ot_ _"__._'.___Yf. .1dd_.._. __._.____.._' <br /> tio.""_' ���.f..�C�,� eC�al..._". Strecl <br /> -----'--�----�--"'- . V..�.f.�. `_�_'_`��`. .---------- ------'--"- <br /> ---- - <br /> 'fheworkto6eexecm^Jb�•__.____.__'___ _.__. ____....___'_____ Plumber <br /> State siz u(lap. <br /> � /� UV <br /> __.�Tap to bc inscrted in�hc main. � ` . . <br /> /' <br /> ___ Waterclucet <br /> "_"' __.Ha[h <br /> "" "-' .Urinai <br /> __'.�___Plain faucet inside <br /> . . __.Side walk�rnsher <br /> -._ ._Husebibou�side <br /> .__"_._Iiose hib torbuilding pur�wsrs �� <br /> .-__. __HoseLibinside � <br /> .."" ___Pib(ur.[anlecontaining__._'_'___stalL__ _4_'l <br /> _._ ?"'NumLrr of prr�ons in (:miily. <br /> __J__"Numbr:nf ronmc in building / <br /> "1'he pcemises are[n be usrd a� a ./.��/. _ _ /"�� - � � <br /> /! J� _ '. <br /> 'fhe oivner of the premises is ___t�'-Lt'L'7—Lb . �- <br /> __"_.__'_' _. __ _ . <br /> ./ _ " ""_"" '_ <br /> Theagentis ___.._ __.___ . � __ <br /> This applicati�m, althouNh sig��ed, .;h;Ji not bc binding upmi thc City. �mtil ao <br /> repted by"1'he Suprrimendent of thc 1Ynter Ue%'ryunc/n[. <br /> . SiNned __�w�'a �4L!/,�_.._,__. pplicant i. <br /> ` :��-_� Ny__ ' �f�f�J—����(!���_�/��..'_'_'.� <br /> f�?"' /�_ Eiu�erimendem <br /> � i�- <br /> �� <br />