Laserfiche WebLink
I1 <br /> r <br /> i <br /> I� <br />( <br /> , <br /> L'nYL ,i-i�i 2$'�( <br />' - _ . (,.,.:.:�,1--A - ii-�l- Yy ('r,,v <br /> «•.n.�=orm�--isuo-xr.co.-a�zs-za <br /> City of Everett�Water Depai�tment <br /> APPLICATION FOR WATER <br /> Nl hlnnks nmst be filled in or crassed out <br /> Evere t t,......1._.f.�...��..�.../..3-...�./.............................1'J2...... <br /> TO TIIC SUI'ERlNT�NllENT OP TIIE 1{+ATGR UEPAI2T.IS�NT: <br /> CITY OF t'VGR�TT: <br /> 4 S 1*� 1 lie�chy nPD�Y tnr the use of water in nccordance �cith lhc rules nnd regu- <br /> I .YJ � � � T Intions of the R�ntcr Dcpnrtment, for purposes and fiatures stated Uelow. <br /> f � ^��b During the time thnt any of the �vater mninc ntay be lnken up Uy teuson <br />� u[ any improermenls authurized Uy thc City of Crrrctt, in or of nuy ytreet or <br /> nlley in whicL rUcy mny hn�•e Ucen laid, lhc City �vill noL 6e required ta furnish <br /> w�uter Juring tlm progress of vuch improrements to miy consumer wLose supply <br /> mny thus Lc v!it otf, or be liablne for :my damnges for its fnilure so lo do. <br /> APplicntion No.....�1 U...al.....:....... <br /> IIlock.c..-.�............:..........:............ Lot.....'.._......y.'n_ ��� ...:::... .1dd....:.........._._...._........_.. .. <br /> No..._di..�J.^�..�_..._c//ICL:/'ylX....'.....�9....Sh�eeY <br /> / <br /> ......_..... . . . .. . .... . .......... .... .... .......... <br /> The work to he c�ee•ted by . .... ..... . (�(/ . ._G.. .. . PlumUcr <br />� � : -. . � � State size of tnP .. ��--� /c^G <br /> ��i�. ' , ," ��-� � . '� . � .._�2..Tnp to be inscrted m t m..in. ✓ — <br /> r` -7� r��'� �- .�� �. _.�. � ......�........R�¢ter closet ' ' ! �. <br /> - <br /> 'a � � A,�. . - .Bath :�!' ;. � <br /> t <br /> � i . ; . . ......�....... / 'i . <br /> � � <br /> ,� , , � �.' , �, <br /> , �. y ., . .............Urinol � � <br /> I . ."' , . � - . ..............Plain fnucet int�idc � <br /> 'r��. , — <br /> - ................Side wnik �enshcr � . <br /> I '.�-..�, .,�. .- .�.�:.. �. �. ; . <br /> � ��. > .�.. . •.. � � ...............1losc Uib outsidc L-- <br /> � : .' _ .. : . � � , - , <br /> d._; :: , . . .�.� '�= � . ................IIose bib for buil,ling imrposes �.-- <br /> . .�`. � '' � .,; � ... '. � � ...............I�ose Lib inside <br /> r f.' , � . - � .. . <br /> . ' .a'� ..............Bib tur stuUlc w:dninin stnll........... ... . <br /> , � .; � . g......... ..... <br /> �,�. r-- �� . <br /> i� . . :. '- --� '.;`.� -.. ��-,; �:- � . � .......A'umber ot persans in fnrr�ily <br /> � - . ..._.'.../ <br /> i ' ..� � ' �.� ' .....�.....NumUcr of raoms in building � ,/ <br /> i�,� ,P �'�.� � ,��. � Th ptemises nre to be used as n _.._�.�/./�-GLC�.�J.JC1L_......... .. <br /> � � _ .. �- � '17ic o�vner of the premises �s�,. �_�,�„��• J� <br />� .. �r .. �. . � : • ..-r . _ . .._.�.... <br /> �.h >_ .� . . ,. Thc agent �?.......... ...... ..... .... ............ . . .._ ... ..... <br /> TBis u�iplicction, ulthnu�h signed, chall not be birding up� he C�ty, vnlil <br /> '�• ' � accepted by Lhe Superinlc,a/�dcnt of/tJhe Watur De�pmyt,p',ent. <br />� � r �; � . . . . � Signcd. ..../""'./...._/.:liL....l?J�i��`!li�..... . .l......_..A plicnnt <br /> F J <br /> i � - � <br /> � <br /> ' . <br />� £ ,..: . . Accepced..�..-� ...-....... 19� IIy.._ �%/ n .. .. ..L- . .......... <br /> 5 <br />� , _ .. . . mtendent <br /> 'r � � . <br />,_ . _ � ..- - -- - - - - - - - - <br />