Laserfiche WebLink
�c,...��k' il'3h.�s <br />lC. Ii Form �- lson-F:.P.Co.-L-2G ".< <br />City uf Eveiett�--Wntei� Department <br />APPLICATION FOR WATER <br />All Ulanks must Lc fiiled in or crossed out <br />��� � <br />liccrett ................. ................l. ..............................19'J.. <br />TO TII� SUPEI21\fIiNI1liYT OR TAE �FATER DEPART➢ItiNT: <br />CITY OR G\'ElUi1"P: <br />1 hereb}• :�pply for the u=c of w:�tm• in ;�crord:mce �eith the rules and tcgu- <br />lalions ot the �Pnter Ucpnrtmeni, for purposes nnd fix!w•es stnled bcluw. <br />Uuring the timc thnt anp oC thc �cntcr mnins mny br lnken up by rcason <br />of an}• improvements aulhorizcl by the Cit�• oC Everctt, in �r of nny strent or <br />ullep in o•hich !hey may hnce been laid, the City will not 6c required to furnish <br />�ealer din�ing [he progres: of such improceroonts to any cunsuuter w•hose supp:y <br />m:�y tLus bc cut nff, or bc liable Cm� :m�• d;unngcs for its f��ilure su to do. <br />Applicnlion Nu........_g36..� <br />........_ ..... ............ <br />i <br />Blodc... l¢c.f.. � .. Lot I S . ..... . .._ .... Add ............ ....... .....__.... <br />�i � �j,�.�� L <br />h�°•-�cn� .�/ti.�._1_! rC�treet <br />. . _ ....... . . ..... . . <br />J \ <br />..._ .___.._.._. _......_ .................._........._............................_....._...__... ....................._..... _.. <br />The n�o�$ to be executed bY....... _.... _. ..� r�re��.. •.. ._ _....PImnL��r <br />•S� ate size o[ tnp. �" <br />//U <br />,'L...........Tnp to bc inscrted in the main. <br />.._._%....._R'nler closet ,- <br />..._.I.........Bnth � �: � - <br />.._............Urinnl ? - <br />................Plnin faucet inside <br />.._...........-Side walk �rnsher <br />................21osc Lib out�idc � �-,, ^ <br />.............. Hose Lib for building pm•Poses �� '�� :�' i"� <br />1.�=; ��,�,��, �,; . <br />..._...........IIosc bib insidc �` { 5 � <br />f' L j�� ( � <br />................I3ib ior stablc containing.....___......:(klull• -ff�q�TT ,J? '-, <br />..._...........Nuuiber ot pci:suns in fnmily ��%'........ , {Ihi-�h f'�„ <br />• ....... -� r <br />..... <br />....NumUcr of rooms in builJing • ••^ •,.. � <br />......... . <br />t-°��¢ ., r•••�......�........ <br />TL•e Premi�es nrc to 6e u=.ed ns n ..... ......... . �'-�'-t'.�—'....�..�.Q. ......_ ....... <br />T owner of the premisea is....���....��.-.t3..C...U..'�-l.%c-4Jrrt_` <br />:ent is ................._.................................................................................................. <br />�plication, nithuagh sigucd, chati not be binding upon the Ciry, unti� <br />% the Superintcndcnt of the T\Vater nT�n,rf„�ent. <br />Signed�-.....:.... .C�' ......�.1..!�-"`�H� Dp c <br />�........ .... . _........ .A <br />��] ��- ]i nnt <br />_ �� J- . <br />_�.�r..:....�J.�... .._-.19C.5.. BS._::.Z%`.-y._.%�I�� . .................._... <br />� _ �rc�:.�uperintendent <br />