Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
'r.�d �a si-c 5 � ,_� . _ . , � <br />•. . . <br />IC.I).4'�rm< icoo—r.r.n�.--a.zs.¢u <br />City of Everett�-Watel� Departinent <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />E�•m�ett .............................._..... �.�/��i_................192_.S <br />PO 171E SUPF.RINTENDEN'P OR TIIE R':1'PER DF.P.11iT.1fP;NT: <br />CITY OP P:\BBGTT: <br />I Itereby nnpiy for Hie use ut �e:tter i» accord:iuce with the rtiles nnd regu- <br />lutions ot lhc \P.i.er popnrtment, for purposes nnd fis�ures sln;ed 6elu�e. <br />Dm�ing thc lime thnL �ny af thc �cater nmins m��y bc lnken up Ly� rcason <br />of nn}• improt�rnmuts nuthm'iz��c! bp the City of Is��cretl. in or oC nng street or <br />nlley in which thep mnp h:n'e Ucen Inid, tiic City trill nut Lc required to furnish <br />�cnter dnring the prugresa o[ �nch improcemeut� to nny consuomr �rhose supply ' <br />may thus bc euL ott, or bc IiaL!c for :my d.unages for ils fnilure so :o do. <br />�� <br />Applicntion Nu..._.........�-�.Z........ <br />Block... �I�...... ... . . Lot .�—..�. _ .. .._.... Add... ___. ._ . <br />_ . .. <br />No.....-.�.%.%L].. �1�-t�-.^:��— ......Strcet <br />..._ .......................____...........__......__......_........__._..................__... __.._.....__.... _..__..... <br />,_ __ � <br />Tlie �vm�k to Le executed bp....... .. __._...._._....._.__. ... ._._.. _.....PlumLer <br />Stat sizc of tap. J <br />J <br />.3. _.',.._Ti�p to U� insertcd in the main. �� <br />...._L.......\Yn[cr doset ' . <br />i' <br />...�...........nnch �. <br />....-.........Urin �l <br />_. L.r: ,.,,Plnin fnucet insidc <br />._.`....:.......Side o:dl: tenshcr <br />..L..::::...iioac bib out=ido <br />_..::.-......_F?osc bib for buil:ling invp��;c; <br />�_.- .............IIose Lib insidc <br />...:...........BiU for stablc containing....................s.all.::...���-jjj....... <br />....... :....NumLcr ot persons in fnmilp .,./ / ... <br />-. <br />......(:-�....NumLcr of rooms in buildinF • � <br />The Premises nrc to be used n�s n�.. .. _.. �-L,{�,. <br />.._".".... . ..-.. _.. ._ .................... <br />The u��aier of J�e pre�vises ir..cT..u.���� _��!��c � <br />., ngent is....._ ......................._............_.........._...__...............___................................ <br />^•11^ntion, nahou�h sigucd, chnll not be hindin upon thc City, until <br />Superinten{�dent of the Nntm• llepnrn <br />�igned:llKC!!�L..�!..�l:rGirR:!:u.0+'u.'.... .�-.�....K.!..u..^!.^..-� licnnt <br />, / � <br />�.-�...� �— __.1n2.� By_..:' �._ .. .......�:�:J:?......�............,. <br />( —fivPcrintendm6 � <br />