Laserfiche WebLink
� <br />, �'n; ro- �- i3- -urc. �:11,.,��-� .1_ ? ._ , S m�.: <br />N. D. Form J— If00—E.I'.Co.-6-26-2� � <br />�City of Evere'tt--��Tatei• Department <br />14PPLICATION FOR WATER <br />� All Ul�nks must Uc filled in or crossed aut <br />/7 ' � <br />I:vcrett,-.........._L/ .l.i-. l •:. .._�........... ...1 P'?. �.. <br />........_. <br />TO TiIE SUP1si.INT�NDGN1' OF TRF, fi'l\TtiP, ll.PARTIISli\"t: <br />CTTY 0��\'I:I:ET1'-.'' <br />I hereby npplp Cor the use 0 ca[er in accarclnnee w'ith lhe :ules and re6u- <br />latious nf lhc Nnter Departmert, for pu�pn.:es nnd iislures stated below. <br />Bm�ing t}ie timc thnt nny oi Llic �vater mnins mny bc tnken u�i by rrason <br />of auy impruven:rntn auLhorised '�y LL-e Cit� of P:cetett. in or of uny atrcet or <br />ullcy in w2iich they mny nnve berr �nid, thc City t�•ill nut Uc required to furnish <br />n•nter during thu progress oi e�icU ��rrm�ements io nnp ennsumer a�hose su,^.plc <br />n:ny thus uc cut off, or bc rnLle fm• :my damages for its fnilure so to do. <br />/�r� _� <br />Application No._.Q..p-..��.._I._............ <br />Qlock if �. r� .. _... Lot �4_-./l. .._....... Add._._._. __.__.... _.. <br />�... <br />No._.�. ��.� �J%G .�1 ....... .........Street <br />__. __._ _....... .. ._.. .. _........... . _........ . __ ._.. .... . __..... _ .... <br />The w•m�k to be executed by...._.._./'/._ _..� ,/_Q.a..........._._......Plumber <br />Stntc sizc oL inp. � y/� / U�� <br />.1�? i <br />,C,(.. Tap to be inscrted in tho ntain. <br />/ <br />....1.........R';.ter closet <br />.....�-.......IIntli <br />..�..... ....Urimil <br />_,;�...—.:....Plain fuucet imidc <br />..' - .......Sicle �enik tc:i<hcr . . <br />_...f.........Hosc UiL ouLsidc ,� <br />..... .......i[osc biL for bnil3ing putpases ,.' � - <br />__-:.......ilosc bib insidc r <br />— Bib for stnblc wntninin �� 1'.'I '��"�-�� <br />.......... ..... g....... ............sl¢II................... <br />....-�........A�nn 4�r of persons in fnmily � � � <br />1n r . :' <br />..__......._.Number o` ronms in building /1 �/� r+ ��I'�....�.� <br />The premises nrc to Ue used ns e�....�.. �--..:L(..c��....1............/........__... <br />Thc owner nf the prqoti{s i... .._. _....._ . <br />��/n/, ......_ ... ............................. <br />The agent is..�....._..� . `-^-"�. ..._�'._...... ..__... <br />.. ....... ........ _.. ..............._.........._..... . ... <br />This applicntion, nithough signcd, ,hnll not b binding upon thc City, until <br />nccepted Uy the SuperintendenL of the Nnter llepnrtment. <br />Signed ................ �:tJ....�.—��:::S.�l.'.t..�.,........::_:.7...........Applicnnt <br />s-'_ � _ �/, <br />.— 9. � <br />Accepted.._..........�......<`r........102.7. Dy......_�.�?^.�..._ _t:...��...,.. l ?.... <br />........... <br />� - _.Sup��tendent <br />