Laserfiche WebLink
�-�.�x-.+ 'f"3 sq- ir �,zd ,-2s-2g_,I� � <br /> NC D.Form 1-750C—E,CCa.-6-2G-2J -� I <br /> 1 <br /> City of Everett�Water Department � <br /> API�LICATION FOR V�jATER <br /> All blmiks tnust bc filled in or crossed out � <br /> Lrcrett,.........._.__... �..�.l...ts... ...192..c�.. <br /> .._......... . ............. � <br /> TO Tii� SUP�P.INT�ND�NT f,3•' TIIF, R�ATRR DCPARTDSENT: i <br /> �CITY OF �V�I;ETT: <br /> I hereby npp,y for the use uf water :n nccordance wilh the rtiles nnd 1•ega- <br /> lations of the \Vuter Depnrtment, for pm-puses ;md fistures stnted bebw. <br /> During thc time thnt nny of the water mnins mny hc Lnl;en up Ly renson <br /> of nny improvements nulhorized by the City of Pverett, in or of nng street or ' <br /> xlley in whir}� thcy� mny lmec Lcen lnid, tfic City will not bc required to furnisl� �� <br /> tvater drrin{� the progreas uf sucL improemnunts to nny consumer whose ,upply <br /> m:�y tlius be cut off, u�jr Ue IinLle for nny daivages for its fnilure so to do. � <br /> Application Nu...p.. .`f..._� v Z <br /> � , _o............... 666 <br /> n�oa:......�....::: /� 'i , � . . . . . <br /> .............._...._ Lor.....�::..L............._............ Aaa.. ::..:..,, � <br /> _.... __..... ... <br /> No...._�..3.._.�..5..............._...._�........Street �, <br /> ' <br /> .................. .... <br /> . ... .............. <br /> Thc �vm•k lo be executed by..... ... . � � � ,��PlumUer <br /> Stute size of tnp. /,�-a._�� ��`J � LG G , <br /> -.���....Tnp to be inserted in the main. � `~ , � -'���� ! <br /> . �nr: , ,: ;�,: <br /> ....._�.....1Vnlcr closet �. . I <br /> ;.�T�' OF EVEt9ETT 1" <br /> ...._'-.......Bnch . ��/ � <br /> _ � ................�.. <br /> ................Ur i n a 1 <br /> ..-_.-.......Plnin fnucM inside �-� <br /> ......-......Sidc wnik �enshcr . <br /> �-...�_Hose biL outside <br /> ........ ._,IIoae bib for building �mrposes , <br /> .._....—...Hase bib inside � � <br /> ........ ...BiU for stuble con2aining....................stn11.................... i <br /> •-�. ......Numbcr o[ persons in family <br /> ���.�....Nmnber of moms in Luilding <br /> TI n�emises nre to be used as a` ..... p <br /> ... ..t..._ ..... <br /> � . . ..................... <br /> ' ner of thc premises is... .....' � , <br /> ..... ....�_.� . G.:: 5-s]............... <br /> ;�t is.................................................................................. <br /> ............... <br /> .................... <br /> �licntion, nlLhough signed, shnll not be binding upon thc Cit untit <br /> �tie Superintenyie o�.thc 1Vn r rtment. Y' <br /> �i �c/ � . <br /> 'ignc�........ .......I.......�. .....................Applicant <br /> . .... ... .. .. �:.�... � <br /> /_ <br /> , . .......��,.5.�........192.Q... By... <br /> f. <br /> ........................... <br /> � ' Superintendent <br /> i <br /> t� <br />