Laserfiche WebLink
I <br />� <br /> 1 <br />� <br /> ,�iyt�/� / �i � .. �f� . <br /> � r. 9 a.'�. �. _ _. _�_.at � . <br /> lV.D.Ibnn L 4u00—E.CCo.-4:G 2< • — , <br /> Gity of Evei•ett-�Water Department <br /> APPI�ICATION FOR �1ATER <br /> All Ul:mhs must bc tiiled in or cross-c� out <br /> licerett�.._............_......................._........_....__...........10L'.._.. <br /> PO TH� SUPSRINTLNDEN'P OP THh; NATRR L.1'sPAI:TbIliN'C: <br /> C1TY OP �VEI2ETT: <br /> I l�e��eby npplp for the nse of �cater in :tcemd�mce «'�:h the rules nnd re„u- <br /> lutiuns ot ti�c Natrr P.cpartment, for puiposes nnd [ic;m�es stnted bclo�v. <br /> Duriul' :l:n ,.�u•r thnt nny ot thc o•aler mains may 6e tuken up LY renson <br /> o{ nny imi�i'uremen�s authnrize� by the City oC ':cerett, in or oL nny street ar <br /> ::Ilc}� in whi:h �hey mny hnce lmen Inid, Llic CiLy �cill not bc rc�uired to furnisli <br /> �cntcr during tlm progress oC such improcemenls to any eon�umcr wlmsc supply <br /> w;:p thus 6e cut of[, o�rj Lc 1ia61c for :;ny daimages fur its failure so to do. <br /> 9pplic:dion No....A..U_.�).�..Q................ <br /> Block . .�.g.3 ..._/_.�1 ot...z3 . ...... Add._ _._... ._......____.. ... <br /> _.... <br /> No ��..a2 v2 .�/// ._ _... . ..__Strcet <br /> __. . . .... .__.................__ ...._...................._........._....... __ ...._.. .......... _......._._. <br /> TLe worl: to Ue esecuted bY...._. ..__. .. _ __ ....... . . . ..... __.__......Plumbar - <br /> Statc sizc �f tr.p. � <br /> ,.��.�..v....TaP to be inserted in the main. <br /> .\l'nter clo=et <br /> .. Bndi <br /> Urinal <br /> ..��........Plnin faucct inside <br /> ...j.......... <br /> ..,.�.........Side wnik �vnshcr �{� <br /> . FIosc biU ovlsidc , /� � <br /> X...... : <br /> ._ . .........FIusc Uib tor Luilding purposes `. --�` � G <br /> . . . ........Ilose 6ib insidc V/�� /`� ' <br /> ... yyy.........IIiL for stublc coutaining_....._...........slall..........__..... i <br /> ._.� ...A'umbm� o[ perscns in fnmily ��I <br /> ._.._ ... NumLer of romus iu building � <br /> .... � <br /> Thc premises nre to Uc used as a.... ... ... .. '�.�-�, /..��.:..5_..._.._..... <br /> Thc o�vner of the prer.iises is.__��c�2.. ..,{J.;a_.-.G.C�t�__...._..._ i <br /> The a�ent is..........._.._............... CJ <br /> _.............. ._...._ .__.._ .... __.............................. <br /> This npplicution, nithou^h sitined, shnl ' be U +�in upon the City, until <br /> nccepled by lhe Superinte nt of the N ter )epart en <br /> SiFned......_.... .. ....'..A.....__ ... ... . . . . _ .....Applicnnl <br /> Aecepted.. ..../�..:.�!�JE.__. IIg " <br /> _.-���/�� .........._......... <br /> � �J�� � _,. erintmdent <br /> I <br /> � <br />