Laserfiche WebLink
Y;..� �1"�1, �rj Pif�.CJ-tc_� <br /> I / f, ��� - %-�� �0�,;: ) . <br /> W.D.korm I— lFnO—E.P.Co.-6:6�2� <br /> City of Everett-��Uater Department <br /> APPLICATION FOR WATER - <br /> pll blaml.s must bc filled in or crossed out � <br /> Evetclt_..........._..��l...a'..:�................................i92.��... . <br /> 'f0 TIIE SUPERINT�NUENCITY OF �VliRls'TT;DLPARTI�tE.1'f: <br /> I hereby npp1Y for tlie uzu oC��'aler in accordnnce with the rules nnd regu- <br /> Intions oC the «'uter DepnrtmenL, for pm�poses nnd fix�ures stated belo��•. <br /> During lhc lime thnl nnp ot thc ��•ater mnins mnF be tnken uP liY renson <br /> of nnp improvements nulhorized Ly the Citp o[ Eccrclt, in or of nny sLrect or <br /> ullcy in which they may hm•e �ecn Inid, thc City will not 6e required to furnish <br /> anter during lhe progress af such improcemente to ung consumer wliose su��D1Y <br /> mny �thus Uc cut off, or be liable fo: :my d.imuges for ils fuilure so to do. <br /> Applicnlian No._.��.+�.�-........... � �--- <br /> B I o c k............................... <br /> _...__ Lot.................._........_..._..... Add.�.�-dX�C..C--.�- <br /> A*o.....�� ��......�..0_c:.'�"�R-__................Stmei <br /> .. . .............�.......... ..................................... <br /> . ....._..........._......_......_....................... <br /> .......The wm�k to be excculed 6y........�-Gc.�L� � ......_.��.-(:....-...Plumber <br /> Stotc s�2e of tnp. ^�� ��, <br /> ..�� �-...Tnp to be inserted�i� thc mnin. �,�\ <br /> ... /L� 1 <br /> .....l.........tPntcr closet J � <br /> t........u���t� <br /> L�-�— � <br /> .-....ur;�n� U,-c,���o�/��3 /f/�°��) <br /> .,.,.,�,_...Plnin fnucet insidc F��p�l��S[/ /� <br /> --:...Side a'alk �vnshcr "' h• \\/� �� <br /> ......... �'� �''il�. \/ <br /> _`•:.,, �h' <br /> ._...�......_IIosc Uib oulside � �- �.,, �;nT <br /> ....._—....Iloee bib for building purposes . � "'••. <br /> .......-:.:,....Hosc bib insidc "'••. <br /> ._..._.��:...Dib Cor stnble contnining....................slnll.................... <br /> __.._.,-::...Numbcr of persons in family ��< < c_ _ <br /> Sa.��.� <br /> ., .. Number ot tooms in building ' �/� <br /> �[..... / C�:� <br /> / <br /> The prem�ses nre to be used ns n_.... _.cna�ticl..'S��t�(.�-_���� <br /> TBe owncr of the Premises is........_ _............_.._..................................._......_....... <br /> 1` agent is..............._._.......__ .............._................._...._.... <br /> ........................................ <br /> npplicntiun, nithuufi>> signed, shnll not be binding upon the City, until <br /> bg the SuPcrintendent of the Nntcr Depnrtment. <br /> 3iEne � �....'............... 1... . ADPlicent <br /> . ... . ..... .................... � <br /> �. .............. .f...... ... <br /> _...:_...198.7. DS...� _ � .��� . .... <br /> . ;�-:.-..�p �... . _��upirintendent / <br />