Laserfiche WebLink
` ' .r JJ;' i . . <br />� <br />w. a Form a isoo a-i-n c. r. <br />CITY OF EVERETT�=Water Department <br />Applicatioai for Water <br />All b1�nL:s nmst bc �illed in or crns<ed oul <br />�:�—_ r /// /\f . � <br />Fveret�, . .__i�:.i 1�t�1/Il_'�7.."'_'__-191. �_ <br />TO '1'HF. SUPIiRINTENDIiN7' OP'1'HE WATER UBPARTMF.NT. <br />,l1Tl' OP GVfRETT: <br />I herehy apply tor the use of water in accordance with Ihe rules and regula� <br />�iuns of Thc �Vatcr Utpartnr_nt. inr purpnses and fixd�res s�aled beluw�. <br />Uuring Lhc timc Ihal atp� uf thc watcr mains may bc taken up by rcasnn nf <br />:mr iinprovements authorized bq the Cilp n( Eve�etl, in o� nf any slreel n� nllcy in <br />a•hich thel' �»�)' have been laid. Um City will not bc rtquired ta furni�h w�aler during <br />Ihr prngress ot suth imprnecments lu any mnsunter w'ho�r cupph� ma>• Ihus 6e cut <br />nff, or be liahie for anYJdnma s for ils (ailure su to An. <br />Applirntion Nu../_�_��- � ' <br />y- (��,,� <br />Rlock ...�.�.%_ J LoL z �-.._.______-Add_---`-"7a.� <br />� �._z. G �2 zr�c _ ' � <br />--- \o.'--� 1--� -- -� �----�-- �2,--... �LL_._Strect <br />--�--�----- � ---�_/'� _ /.��t�� ---_' <br />'fhe wurk ta be esecutrd by _ _ ' �' Y'�!' __. __ _ ��'- 1'lumber <br />tiialej�izc �d Inp. <br />.�/ _--� _�"fap tu Ix inserted in the main. n <br />/f v <br />___('_"1Valcrdnscl --.%. _ - <br />... �.. _. 13a1h <br />. ..._- .Urinal <br />....-...-Plain (autet insidc <br />_ ... _Sidc �valk washcr <br />._ .. _linse bib outsidc <br />.__'..__liusr biU fur building purposes <br />it �� ' � <br />)l�'� :. <br />/�'� ' ,��c`,� <br />G� �j <br />,, � ' � 1, <br />1.a __:, i '� <br />.____.___Ilo:�cbibinsidc • \ ^�vll� � �_,��" ��r ji <br />Ner_. ,; <br />__._.'_Bibtorstableconlaining._______sLdl..'' _ ' ' \',,p(ry,..� <br />__ . ' Numbcrnfpersnnsinfamily \^,'^Q` . f.• <br />CNumbcr of rnnm� in building �'��'�„ �, <br />� <br />"I�hc 1"emisrs are tn bi, used as af ( t), /�,(� 1_.(ir�-.'�"' <br />ThcawneroflheP�umsesis.s.�__!-'_L�- __"_"_"'_'___""'_'_' <br />The:�Rentis .__. ._ .. ___.___"'__'_"""'____'_""_.__"-' <br />This npplication. allhnugh siKned. shall nnt be binding upon lhe Cilp. until no- <br />reptrd by'Che Suprrintendenl o! the �Valer �epartmrnl. <br />�ly .�.��1�4'- (Y"\.� . <br />SiRned--= --'-' :--���:��-%%'.G.,-;=, z--VApplicant � <br />:� -� <br />Acccpted.C,-�-� J�-------191Gf 14y--��� � _----�---��-"-i <br />/ .-� sn-rmieo:en� <br />