Laserfiche WebLink
�LaLI-d 1- 1 i"�"C. �ir�J-.V��lcl I<�' i- l/' r� w' �� <br />.. , . , . <br />W, P. !'nnn �--1600-EP.Co.-L•26�R� <br />City of Everett�Water Depar.tment <br />AFPLICATION FOR W�ATER <br />All 6lnnks must be filled in ar croseed out <br />Gverett� ....................��� s .....195�... <br />TO :AE SUl'ERINTENDF.NT OP TIIT•: �VATF.R DEPARTDIENT: <br />CITY OF EVliRLi'T: <br />I hereLy npply for [fie nse oC water in nccordmice n•ith lhe rulrs nnd rrgu- <br />Intions of lhc 1�'nter Departmenl, for pm�pnsrs nnd fixtures slnted below. <br />During the time thut nny at thc �cnter nmi�s mny be tnken up by rensan <br />oC nuy imprueements nuthorir.ed by the Cilp o[ Ererett, in or of nny �Lrcet nr <br />�dley in n•hich they may ha�•e Ueen Inid, the City will noL be required to furnish <br />t�•nter during the proqress of such im, ro��aments to nny coneumer tvhose nupply <br />may thus be cut utt, or 6e linblc for any dmm�ges for its fnilm�e sa to do. <br />Applicntion o..........�.�..�..7..:5............ <br />� � <br />qq L-�- <- � � <br />Block........................._..'.'.../..... Lof.-�?..�...1......._............. Add........._._................._.`�'.. <br />No_...__../.5 /.�.%.....(�(/„a-� . ��.�.�. �. �.. ..........Strnet <br />.... _..... _....... _ . . ........................................... _........... _........ _... _............ ........ ...... ..... _.............. <br />� <br />'Che wm�k to be esecul^d bY ............._._..-�:-"=-E�,J............................_Plumucr <br />S�t�ntc sizc of tnp. 0 <br />;C�ry... �..._Tnp to be inecrted in the mnin. <br />..�...�:...R'ntcr closet � �---� <br />_�...�.-Bnth //^� / <br />i , 1 /�:� � ���I '� <br />-....."..-.-.Urinnl t � <br />� (..: �"'.J� � i <br />..... �..:.....Plnin fnncc[ insidc !� � �. ` <br />_�Side �cnik �c+ishcr <br />�' f)FC "� 1J25 � <br />_. <br />'.�..-.....Iiose bib oulside CITY OF CVEAETT YfkT�B 6�.:F <br />� ..............%��............. <br />�......_—.—[Iosc UiU for builling p��inusi5..... � <br />...............IIosc bib inside ' <br />........— ..—BiU for stable contniuing ....................slall.................... <br />.....--..—...Kumbm� of persons in family <br />... t.......A'umber o[ raoms in buildin� ' '. <br />'� • . xmises nre to be usad as n .... . .... . . ...... . ..... <br />. � _...4iQ............_....... <br />�...,; ar.r of the oremises is...,.._... ._ Scz,c,..c„�,LC,,.__ . . <br />. _. .. ..... , <br />"1^ :ent is....._ ............._........_............................................_..................... <br />. . ............. <br />• �plication, nithuugh signed, shnll not 6e binding upon the � y, until <br />� b; the Su crintend of the 1P ter De prtment. <br />� Signod.r.�:......:��l�°" -...�!(!/(.iC!!:!.��....�/,_.:..... . pplicent <br />�f ,I� �.. . <br />..•.��S..r..�..�`�. -.�..19 :..... By....�:� ,l'� . . ............. <br />crmtendent <br />