Laserfiche WebLink
� � � l � .,,�.. <br /> _K,.��'G �-iN�l-S�l77. � _, y.�R��.. -t � ' � <br /> 1Y.D.4brm+ 1:�PU--E.P.Co.—G:6-24 <br /> City of Everett�-Water Department <br /> API'LICA'�'��N FOR WATEIZ <br /> All UlanAs must be iilled in or croseed out " <br /> I?verett,....._.._. /�� . ._I^3./.... <br /> . .._.......................... <br /> TO 7HE SUPL•'RIN:PNllP•.A'CITY OY' EVE'.'.PTT;Uh:YAItT.11l\'I': <br /> 1 hereUy nr.�ilp tor the u�e uf �cuter in acco.d:mce c+iL�. the rcles m:d tegu- <br /> Intiuns ot the Nater lleparlutent, for purpo�cs �.nd Ci�:mce stalcd belo�v. <br /> During the lime thnt n»y ot lhe watcr mnins m:q' be tnken up l;y ma�o» <br /> uf any improvcntents• uuthoriud by thc City oi Evcmlt, in m• of nny atrcut. or <br /> nllcy in o�Lich they may hr.ee 6een Inid, the CitY wi11 not be required to furnish <br /> a•�ter dm�ing the prugress ot such improvemen'�: to nny consumer ���hose supplY <br /> m:�}• thus be cut uft, or Le liable f�u1r uny duma8�'s tor ils fnilure so to do. <br /> Applicntion Nu..__....�.Q..q..:d.......... <br /> ' � Add. .__ ._ - <br /> .. ....._. . __....._ .. <br /> Rlock_.............._....._......_....... Lot...._.�_:..f.c..... :_�...'.._._ . <br /> r��,p',��.d.l.....Strcet . <br /> No._.._I.�.{4.J_.... . . . .. <br /> . ... ..__ ....__..........__.......__.._........._....._. ............_.___ ._.. ._. <br /> . ..__...__.._..._.. <br /> . . ._.._ . ..._. _....Plumbcr <br /> Tiie �cork to be esecuted by.._._ _. _ - . - � -- �- � - � <br /> Stntc size of tnp. <br /> � ., <br /> �......Tnp to Ue inserted in lhe mni+i_ <br /> ...._�..._....\Patcr closet - - <br /> ....�....._....Bath i . . <br /> _—...._.....Urinnl '��. <br /> ,_��..:._.Plain Fnucet iuside <br /> ...`........_Side �cnik �cnshcr <br /> ...`:,..._...flose bib uutside <br /> ..... .......IIoc� Uib for bnil,lin6 Purposes <br /> _._._........IIose Uib insidc ' ; <br /> .._-........BiL for stnUle containing....................stnll.................... � . <br /> ..:;.�..........A�umbcr of persuns in family <br /> ...... .........NumUcr of raoms m building p _ <br /> . 'Sl-r1-� . ... . ._........_.. <br /> The Premises nre tu be used ns n___.. lI.F,. � `�'�'� . <br /> 1'he owner ot the i�rer.iises �s.....1�-a-+-�-�"-�%"�!^�--���� `�'r'�'�'�'�'�' <br /> . ................................... <br /> Tliengent ia........._..................._._. ................_..............._...... _. <br /> This applica.inn, nithnugh signed. chnl: not Ue Uinding upon the City, until <br /> accepted by Uie Superintendent ot lhe \:'nter Deparlment. <br /> �m��.�r..:r.r?ur!-v`�__(c5,;:�:L-�.<Q-4.-.�.�Pplicu»t/ <br /> Sig�.ed..........a.-.:.r.. n �� � <br /> ! . <br /> .� .:, � i' , .,�.._........................... <br /> Acecpted.i:.�-.�..^.."?.....192.._.. IIY����_��Superintendent <br /> c <br /> 1 <br /> i <br />