Laserfiche WebLink
i�! <br />W. D. Fom 4 <br />CITY OF EVERETT—WATER DEPARTMENT <br />.A�E : ICATION FOR WATE� <br />All blanks must be filled in or crossed out <br />� ��' __.._19l_..%. <br />Evcrett�... . ......_ �.. J�- . . � . <br />..........._... . ..............._...... ..__. <br />TO TIfE SUPERINTENDENT OF TI�IE NA1'ER DEPARTMENT: <br />CITY OF EVERETT: <br />I hereby apP�Y for the use o[ water in nccordan�e with the rules and regu- <br />lations of thc Nater Department, tor pw�poses and lixtures staled bdow. <br />Durins thc time that any of the wate; mains m�y Ue taken up bY reason <br />o[ any improvements aut}�orized by thc Cii� af Everet[, in or of any strect or <br />alley in whidi thc}� ma}' have been laid, the City �vill not bc required Lo furnish <br />water during the progress of sUch impcovements lo viy consumr.r whose sup- <br />ply may lhus Ue cut o[f, or Uc IiaUle for any damages [ur its failure so to dn. <br />Application No.../.-:.:' ��. r� <br />. ..................... <br />Block....._..._........__ ................ Lol......_._._......................... Add.__......__ _.............__...._ <br />, , , . , �. �,/ . � <br />No.._ .............:.a�.__. ........�."...........c....''..=.: '_f����.C:C_: an.:.................__.Slrect <br />_.._ ..................3�?...c..a-......................._..............._......_............................._ _......_...... <br />The a�ork to be executcd U}'.....__.........__. .... .. ... .._._. .... .. PlumScr <br />Slate size of tap. <br />...-."....._...Tap to Ue inserted in the main. <br />__..._._....�Vatcr doset �' .. <br />................Bath . ; „i� .,.� i <br />._......._....Urinal : ��;� ;. . ` �� <br />.._..._.......Plain faucct inside . � .. J , . <br />._........_..Side walk was-her �����`..� � ._ ... <br />. - ... `:.`,� ;� , . <br />..._...........I�Iose bib outsidc .Clts. ��� L_ . �._ •_ � <br />.._.........._Iiosc UiU for building pm�poses .�Ar�� "-.� ;� � � <br />� ... <br />._..__.......Hosc Uib insidc � . <br />_........._...Bib tur stablc containing..._._...._......slall_.___.__. . <br />...__._._._NumUcr o[ persons in tamily� <br />. ._...._NumUcr ot rooms in building <br />7'he premises are to bc usecl as a_.....__.._. ._. . . .. .. . . ._. ._ . ._... <br />'1'he o�vncr of the Premises is ....... ......._.._. ._._ . _ _ . . . . . _. . _. <br />Thcagent is........_.._.........._....... _.._._...__....._........_...........__....__._......__.__...._.. <br />7'hu apYlicition, alLhmiF�� signcd, �hal] not hc binding upon lhc City, mitil <br />nc��eptcd Uy the Superifit� ident o[ the Water Department. � . <br />y_. � <br />Sicncd�.� .tI"?!:_.1 .J��/}•`j.,��...�.%���tLtay�..Applicant <br />.� <br />A^n,p:c.,.... . ._ ...._.._19..._.. B�' .__._� _........_ . .........__... <br />.....Supermi nr.ent. <br />