Laserfiche WebLink
. ' . • , GNjZ� iK <br /> 'A'. D. Form a I500 �-1-1]C.P, $ /ti, <br /> {a <br /> CITY OF EVERETT�=Water Department <br /> Application for Water <br /> . All Ulanks must bc filled in or crossed nut <br /> Everci4_______'______�/�_�.._____"___191 Q__. <br /> TO THE SUPL'RINTENUIiN7'O�7'HE\i'ATIiR U6PART:VGNT, <br /> CITY OF'G`IERET7': <br /> I hereby apply fnr the use o(water in acmrdance with tlie mles and regula� <br /> tinna of Thc Nater U�parinr�al, tnr purposes and fix(ures slated below, <br /> Uurin�thc ti�ie that :iny ui thc watcr inains may be taken up by reas�in of <br /> :my impravements autharized bp ihr City of Everett,in nr o( any strcet nr alley in <br /> which they may have 6een I:�id, thc Ci(v will not be requirrd to furnish water durin� <br /> the prngresv o(such imprm�ements to nny consumer whnse supply may Ihus be cut � <br /> nff,nr be Iiable!or any damages fur its f�ilure so to da. <br /> Applirntinn No.""_..�.Q.,z��._ T � � <br /> I31ock _.�..Z_�_ .._ . LoL .3..-.���:�-._ Add.I.CLlI <br /> No._.....__.� _�._(bl__ -�-..Strcct <br /> � _._.._-'_-----'- - -----'-"------'-2 ---'-----'_—•-'------ <br /> -.-__- <br /> 'fhearorktnbeexeculedhy.___._.11Q.,Q.�Q�,�-_________ p�umbcr <br /> Slatc Sizc o(tap. �" . <br /> , � <br /> _/�'_'.Tap to be inserled in Ihe main. --- �� ., � i � <br /> :. t <br /> -� .-'_-..--_ � .... U <br /> .__�_____Watcrdoset -_.. • ; /, I <br /> � . ��.. <br /> ___1"'_.Balh , ' \ <br /> __. ___ .Urinnl -'�'y� :�� �' � ���. <br /> . ___ Plain (aucet insidc � �,� � , �� <br /> .- "' Side walk waehcr �� �. . <br /> �� ,1V`��� r ..��. <br /> "_.._HOSC Il1Il UOltil(IC \\ ��\ C�c .• �� I <br /> _'_'___"Hnscbibforbuildin �'P\�~:•.� � ...,���.��. <br /> K Purposce�.�.� \.'.�. -::� <br /> ,�-}. �t:��.:.. ,,;. <br /> _._______'Hascbibinside --�_._ '...: <br /> _� <br /> __"".___8ib fm�stahlc containinµ.___.__.___stnlL_.__._._. <br /> .__'..___Numbcr o(persons in fTmily <br /> ____�___'Numbcr of rnams in huildin/1,�� . � <br /> Thc premises are to bc used as a_._J.S-£,Q.t,l�kyy„Lp�__ <br /> _ -_ <br /> The oa�ner uf tlie premives is ___P.�;�,VfjM�____ <br /> ___.__. <br /> Thc aRect is ""' "_ <br /> _.___._'_"'.._.. ._______..'___'___ <br /> "f'hin applii�alion,aP ,�ugh signed,sLall not be binding upon rhe CilS'. tmtil ao <br /> cepted by The Superio - nt u(Ihe Nuter Ueparunenl. <br /> Sigr . ___�__.."" ,. <br /> �/ •�- _--'--------�- -f- Plicant <br /> ___'_ <br /> _ J C/ <br /> r\rccPicd� -��.7 19 B� � �-. <br /> 5 <br /> _ � __ ' <br /> '.__-__'�rnim�n:.m '. <br /> 5 <br />