Laserfiche WebLink
` , _ -� �I ��- <br />W. D. Form 4 �' <br />CITY OF EVERETT--WATER DEPARTMENT <br />�PPLICATIOI�i FQ�R WATER <br />elll bl�nks musl he filled in or crossed out <br />�_. _..1_....� ...............__...79. �' .l,� <br />Evere LL� ........... ...... _. ........5.�..-. . <br />TO THE SiiPERINTENDENT OF THE WATER DEPART\fENT: <br />CITY OF EVERETT: <br />t 2icreby apply for the use of tvater in nccord�nce wi�h the rules and regu- <br />l�tions ot the Nater Deparlment, for purposes and tixtur�s stated belo«'. <br />During thc timc that any of thc watcr mains �uay bc taken up by rcason <br />nf any improvemcnts authorirsd U�� the City of Fvcrcll, ir or o[ any strcet or <br />sllcy in �ahich theY may have been laid, lhe Cit7 will ,�t h� required to Civnish <br />�vatc� durin(; :lie progress of such improvanenG lo anc c� n>um�... ,: �����:�.�. �:up. <br />ply may thus bc cut of[, or bc liablc fo� any dnmuges Cor -:, fniLv: s�� t�� du <br />lpplication No....�L�1...�.....j.. G...... <br />Block.__....._ ............................ LoL.........._._..... __._.._.... Add. <br />i �_ <br />�...J.'`� .._?-...,.1_�_'..`...-'�....._.:'.[ :...__.....Slrecl <br />Na ............................�.._.. �• _.. <br />J y <br />..._. _ ...................................._.... _..... _.............................._................................_............. _.. <br />The work lo Ue r.xeculed by._ .._....__ .._ .. . . ... __ . .. .... Yliva���,e: <br />Slatc size of lap. <br />.....l��._Tap to Ue inseried in tl�e m�in. <br />........Nalcr doset -�� � — � '-- <br />_ �; ,l , .•- <br />sltn . � ; . <br />• . <br />....... _..Urinal �� . . J= (- <br />,�.�� . ,�_�.cl�c. <br />.....__......Plain faucet insidc 1 ' • � ", - - <br />-- - -- <br />_._...Side walk �vasher ;; " -�' �7 ( � ',.� <br />...... _ ,.� <br />..___._....IlosebiUoutsidc i. .�/ ,�_.�,�,., <br />'- . <br />..__._.....Hose Uib tor building purposes �% (� �,''� <br />.._._.........IIose bib insidc <br />........Bib for stable conlaimng.. ......_.._...sl�ll _..._ ��. ,- � .• <br />i <br />_ .__...Numbcr ot persons in fam ly � � �._.'' { � ;�.L/�"C <br />.__...NumUcr of roums in Uuildmg l ��� '•� <br />� y�'y C <br />The Premiscs arc lo be used as a... ... ._ ... .,;,,...�.�._..�r<e. . ._. <br />Thc owncr of thc premiscs is._.... ._.__ .._ ...___..___ .._._ ................_..._. ._. .... <br />Thcngent �s .. . ....... .......__.. _ _._ __.. .. ............... _.....____ ...._._ <br />T�iis npplication, althouph signed, �hall not be UindinF upon the City, imtil <br />accePlcd by lhe SupSrinlcndc t of the�N�ter Depart,�nent. <br />' "y (i '-.y, .�il, 1 � <br />Sir,ned�.. {�!�'�'T! {i __ :t; ...I..� ��Plicant <br />:b.�rrP;ed. . . _ __.........10.. }3c.. ___. . .. . ...._._.. .. .._.. <br />Sup�iintcndent. <br />