Laserfiche WebLink
�—�'/ . �. .—�./—.. �—C- L�-.V�s'i� ��—�.F/ <br />� M'. D'Form 1 1500 �-I� 1] C. P. � <br />CITY Of' F1'ERETT==Nater Department <br />Applicatior� for Water <br />All blanks must bc f i in or crosved uut <br />livcrcil. ____��c��/r� 1� <br />.._"__"_19#?. _ <br />"fU '1'IIF, SUPIiRIN7'ENUF.\'1' OF'PIIE IVATER DEPARTriGN'I'. <br />l'1'1'1' f)P H"rN@TT: <br />I hcro6y apply fnr Ihc usc oi waler in areordancc �eit:� thc rulcs and rcgula- <br />iion; af'fhr R':ncr D���artim�nl. fur pnrpusr: :m�l fisNres sl:lted bclox•. <br />Uuring lhe lime th�l anp c( Ihe wa�er mains mny be taken up by ���son uf <br />:my intPruc�.incnts aulhorixed bp thr Citp of Iiver��it. in or n( :my slrcel n� alley in <br />���hich the>' may havc becn laid. tl�c City �eill unt be mquired tu furnish water during <br />the pruqress of such impruvemenC: tn euy runsumer e�hase suppl�� may thus hr ��ut <br />,df. ur br liablc for anv dan�a5cv�nr its i:�ilure so to do. <br />/d OApplicntion �._ �v" """_' '_ A <br />�} � � // <br />I31ock . .' _ ��.... .Lot A����J"_._Ad� — N/ <br />r . <br />"' <br />_"_'____'... • <br />..__Vo._.. �'1_3�i �/�,L*/�'_au:.titrcet <br />_ . . . _ _ _ .. ��-.-� <br />. . ___. .._ . ________.. . __�j7__'___... . <br />'_'_"_'""'"__ .""___' <br />'I:.c�ra�ktu6ecxecuted6y_.'__._'____" ..Plumbcr <br />-_' "___". .." <br />$Ieryef ize ( lap <br />.�/. __. _-"r,� i�, tx inserled in lhe main. �/ rj ��j <br />.---_,_"\Vnterrinvrl � ._— <br />--__/_.Uath <br />- -..-__ .Urinnl <br />. _._._..Plain laucclinsidc <br />. . _ _ . _Sidc walk �c:ishcr <br />---...._I{iiscbiUuutsidc � � <br />.. _".. .Ilosc bib (ur building purpn.cs ' ':��` ��('(� <br />.____.Ifosebibin�:de .., ��'.•�r^-�CI"� <br />, ._,,� .... <br />"_'_13ibforstablccuntaining. __... _.sta'1.__."_'_ .. <br />_ � <br />. <br />'__ '_'Numbernf penons in tamilr i�l . <br />. - �_.Number uf mom� in LuilJing /J . <br />'fhe premises are l0 6c uvrd as a _ _.' . ".' _ _' . . <br />._..."'_'_""_"_ '_"' <br />'I'hrownern(thcPremisesi; ___"'._'__'__._._ <br />__ ___'_ _"___'_"' <br />"Chc eg.,l is _"_".._' _ ""_"__""" ' <br />This applii �[iun. allhough signrd. �hall .�.. �n- umainq ��P���� Ihe Cily. until ao <br />rcpt��d h}' Thc SuperinrcuJent �( Ihc lVetrr U ��i tmcnL � <br />�/��f/j�0 <����,/� <br />SiRncd._/�._'_'.... a.y_"�li,` .Ki1!'�Y�GQ�• <br />. .- __Applicant <br />Acm�,••,.� �' •.cAC_'__vv1" dy. �%?` \� <br />� , � / _.__._...�. i�i�.-:,�?i � <br />