Laserfiche WebLink
w, o. Fo�T a <br />CITY OF EVERETT-WATER DEPARTMENT <br />APPLICATTON FOR �JATER <br />All blanks must 6c filled in oc �_rossed out <br />-: � .' . ...__.....19:'. `. <br />Evcrett� _....___ ...._.__. ......_....._. <br />TO THE SUPI:RINTENDENCI�Y OF EVERETTDEPARTMENT: <br />I hereUy npPly for ihe use o[ water in acwrdance with the rules �nd regu- <br />).inune of thc \t'�ler Department, for purposcs :md [ixtures slated Ueloti•cason <br />Uurin� thc timc ihat any ot thc watcr mains may bc taken up bY <br />of .anl' improvcments authonzcd Uy thetl ciCitt Eii: not. e rc9u rrd}tot(urnish <br />alicy in which thcY m��y havc bcen laid, Y <br />pl}�mayutl us bc rur[ o[fso�bculiablc}forVan}edamtages for� tsut lurc'so lo do. <br />Applicatian No...�l/�!� c:....._._... <br />Lol.... ... ............Add. _. .. ..._... . ... . .. <br />lllock . .. ._.. <br />. _.......... <br />�, � <br />�. . � . <br />. t) -�-�' i , _.. _... Strc�t <br />No._ '- .............r,r..._....._............._...-___.. <br />... _ .......................................... <br />_ _ _.......... _ ............................ _................... <br />.... .._... Plnmbcr <br />. ._ ..............._. .. <br />The work to be executed y_......��-�����--��--������ � <br />Slalc sizc o[ taP• <br />�/..__�,. Tap to bc inscrted in thc main. �' , <br />.....Water doset � � . . <br />_..._ i�� � <br />D,ti� � <br />ur,�, <br />, <br />..._._.._.._Ylain taucet insidc � � <br />.._..... Sidc walk washer <br />. __.......Iiosc biU outsidc <br />._.._....Iiose Uib for buildin6 pm'po::es <br />._.._.._._.Iiose biU insidc <br />..___.....Bib for slaU!c conlainin5....._.........._.etall ..._._.._ . . <br />._ Nunibor ot persnns in family <br />.._..__ Numbcr ot rooms in Uuilding <br />'Chc Pi�emises are to be used a� :� _. .. _... . . . .. .. . . - - ... .... <br />7'hc ntvnec of thc premiscs is.._... ._.. _. . . . . .. . . .. . . . . . .. .. <br />_ <br />'Ch�� a6cnl is.._.. _.. _ . __....__...... <br />...........__... .... <br />......_....... . _....... <br />. ......__......._......... <br />'I'hi; nPP�ication, althau„h siFned, shall not bc bindinF upon thc City, until <br />ua�eplcd by� the Suprrintendent of thc R atcr Depnclment. <br />. ......._ . ADplic�nl <br />Signc ._._.._. <br />_ _.._.... _ ............................ _.... <br />__._..___........ <br />o....._.___.. . _._.... <br />p,.crp,ed. .__. .. . _.__..1�•...... y._ .... Superintendent, <br />