Laserfiche WebLink
.S�Js•��v.v�s--.v.�C _c11-��_v'��{ :l: „ � ... <br />l/- - r <br />N'. O. Por:n a-16 �d-E.C.Co.-4-:G.2J � � ' <br />City of EverettrWater Department <br />.APPLICA�'ION FOR WATER <br />.Ul binnAs+nust t�c filled in or crossrd out <br />` �[ / <br />L:vcrett,........._ ........................... ._....�..�-....7............. ..] 02�a <br />TO TIIP SUPERINTENUI'%VCITY Or EVPI'.I TT;DI:PART\iL•'NT: <br />I nereby npply for the n,e o[ �c;der in accarJ;mce �vith the rules nnd re6u- <br />lations of thc R';itcr Department, for ptvpu�es :md iiztures slated Lclow•. <br />Dm�ing lhe lime thnL nny aC tiic �e::ter nmins map 6e Wken uD Ly rens[m <br />uf nny improcemenls nuthurized b)• ihe Cily o[ Ecerett. in or oC any .tmeL ur <br />tilley in �chich ilicy ntnp lim'c licen laid, the City will nul bc required to furr.ish <br />�caler during lhe progress of such imDrovemrnts lo nny consmnor wltose sUpp;y <br />umy :hus bc cut of[, or bc linblc f/or :uU' damngc� for ils inilurc eo to do. <br />Applicnlion No....__.._..�.�.�.."�...._... <br />RIec6 �1..�..q �� ..... /Lot� .../S.C�Q/.`�...�__..__. Add.._.... ...___... .... <br />No.... .�.�.,.�..�. %z__!. ��.a-C.--/'-Z-'�'�.� <br />et <br />.._......_......... ...__ ............_ ...............__...___..........__..._. ._ _..__... <br />_.. . ....... _ ..... . <br />The work to be executed bY._.._._.__.. _. ... ...._._.._............__.__...PlumUcr <br />S�� e size of tnp. <br />,..,,h�.,..1. Tnn to bc inscrted in thc maiu. S � � <br />....._�......3t'ntcr claset �y� , ,- � — <br />_....�.........Bnth <br />....`.......... Urin al <br />._ ........Plnin fnucet insidc <br />._-........SiJc �calk �cnshcr <br />._�llosc bib outside <br />._...._ EIase bib for Uuil:ling Purposca <br />,_...... .IIosc bib inside <br />.... .......IIiL for stablc cuntnining........_........_stall..._.....__.. .. <br />....--.-.:....Ncmber of persons in fnmily . � <br />...L/.-.......NumUcr of rooms in building, <br />7'Le premises nre to be used ns n._._`.�.1'.��.44= f'.-.- ................... <br />1'hc o�cner of lhe Prcr.iises is......�%..,�e"'r�=�.�.-�...-....-.-....-.. <br />The ngent is....._....__... _.._ ...............__..._.....__....................... <br />. .._ ................................ <br />1'his application, nithough signed, �lmll not Uc Uinding upon tlic City, until <br />acceptcu 6y tl�e Superi� t�n�n� of th R'nter Depnrtment. <br />Signed......�.Y."..�....��'�!���-���������� �2�.. pplicnnt <br />� !' � ��� <br />Accepted..�.;2*.��-._-..��'._._ BY.,:: � . .��.l� .:.........:.......... <br />, - �-S �re�ntendent <br />� ?i`~j= <br />