Laserfiche WebLink
fiYf�-7- � 5."".J �_ F nl-I-�l��� 2��c�--}'�r. <br />\V. D. porm I-I500-EP.Co.-6.:6.R� <br />City of Everett�Water Department <br />APPLICATION FOR WATER <br />All binnks must 6c filled in or crossed out <br />Evcrett ......................rdc�,a.....:.'.9..............._ ......192. �,. <br />TO TIIE SUPERINTGNDSNT OF TEiP.�WATF.R DEPARTDiliNT: <br />C�Tj�OP EVERETTr <br />I hereby npply for the use oC a'ater in accordance ��•ilh the rules nnd regu- <br />Intions of the R'alcr Dcpertment, for purposes nnd fix!ures stnted bclote. <br />During the time thnt ¢ny oC thc water mxins mny be tnken up bY renson <br />of nny imProvements authorized by the City of Everett, in ar of nny atreet or <br />ullcy in n•hich they mny have bcen laid, lhc City will not bc mquired to furnish <br />wntcr during the progresa oF such impmvemenls to nny consumer whoae aupplY <br />may lhus be cut otf, orp �be linble for any damnqes [or its fnilure so to do. <br />Applicntion No......d..c�..�.-.J ................ <br />Block ........................................ Lot....�... -. ..... Add..._...:_ . ..__...._._....._ .._. <br />� ............... 7.'..�...... <br />No....,/,� �_ � �,.���fi[tiKi/...-..._-.ytrect <br />..........._.._...... _ ................................_...........�...i........_..........._......._._. ._..... ........................... <br />TLe work to be executed b;�......"/1���!?'1 ��.-�e�.f]-!�..._.......Plumber <br />Stnte sizn ot taP. �.5 -- '�`"��'� U� %!� �/L <br />i � <br />...�Z._Tep to bc inscrted in tlie mnin. <br />...... �.......Nntcr closet <br />... �...-..-.Bnth <br />`-- . <br />................Ur� nnl <br />.. �=Z'Snin feucet insidc <br />......_�....Sidc �cnik tvnshcr ��- ^ <br />..._�.........FIase bib outside � � <br />........`.`...iiosc bib for buitding �iurposes <br />..._-......Aose bib inside <br />_ <br />.__...........IIib for stnble contniniag............_......atnll .................... <br />.... .......A'umbcr uf persons in fnmily <br />'- . <br />................Numbcr uf rooms in building , <br />Tlie premises are to bc used as n..._ .... .. �-'�'............-..- ..............-.. <br />ae owner of t e Prem�ses is..�� ...._._..��..��r.:r�i�J ..............._. <br />ngen' is...� ........................................................................................................... <br />applicntion, nithough signed, shall not Le binding upon the City, until <br />.: h��the Fuperinten �nt o[ thc R'ntcr�Iicpnrtment. / <br />� � �i ��, �� � <br />Signec:�...... �..�i[/t/i ............._�/./,!'c�l.�'�=.: :':t -Ap�licant <br />�% _GI� . J'... <br />_ i� <br />.,....c1..._-...:2'. � <br />� r <br />.......192.�i.. BY....�... "� .. ._.r/ .............. <br />/ antendent <br />