Laserfiche WebLink
„,,� -i �� �•� ��/ <br /> _ ' ; , � � %LG? , ;� <br /> �Y. D. Fcrm 4 ISGD J-I-17 G.P. � ' ,�r' ,--/ <br /> CITY OF EYERETT==Water Department� <br /> �--__ <br /> Application for 'Water <br /> All blanks n5ost dleJ in or crussad`ul � <br /> _ —7�- - ',--• <br /> �iL�LC:< �cf � _ '__"_"191 _�--� <br /> ISecretl.._. -----'--. <br /> ___'__.__._ <br /> ' <br /> 'PO THC SUPIiRINTED1Uli\'Pl�j}''pF F`JIiRtiTT;PAli7')IENT, <br /> 1 herchy aPPly G�r�he nsr nf��'�ter in aaordanec with lhc rules mi<I reNula� <br /> ti��:��( Th^Nale^ UrparUn'nL (��r p��q>^+�` �nd fi�lure�slaled below. <br /> Durinti L�e tiine ihat ;�nr ui div�.�a�cr mains in��rr1o('�nenstrecl or��llec in <br /> an�• iml �avtme'a+�. wiharizcd b>� �hr Cily u( L•rerell. <br /> vl�ich �.'��>`;��a(.vi¢heiininnvrinenL'��m�e eoasumrr*��ch�v e'supplv'm��n tlms ber�ul <br /> t:��.m".�. �.: . <br /> n(L or'�•, �....lc fur any JamaFc.(or it<L�ilur��u Io do. <br /> � �J_ � /�17 (�li�Jlc <br /> Applitntiun No..""''/'” -/ ' � .: X7G✓. �� <br /> � .2�.'__'_'_Add_'__'_ _ _ <br /> �'�c5" '""'".LH _"_""_ <br /> Iqock t� /.Street <br /> L�-e _-r-G€�. t�t-�--_ <br /> ��..../S -- - - — — -- <br /> --_ ._ ._- . ------. _ _ f,-j-- - --- rw�,v�� <br /> - - - <br /> r;_�1-tta�o . _._:\. <br /> 'fhc��'��rk tu he esecuied �y--�--' <br /> -----'--- �) <br /> St'�Ic si'r.r u(l�P. <br /> � .i l •I�nP lu be inser�cJ in lhe main. � , <br /> �� J <br /> ___ r / <br /> , .. '� � � /�") <br /> ______ /__���d�L'fC�11cC� -.: /G�� .� i. , <br /> "_�__.�l:ll�l .-r-�\� <br /> _'_"__' .Urinal �j"J�,�4"`�E.�r`. <br /> _ /� F � <br /> __Plnin faurcl insidc ��` '� � " ,+ . <br /> .____ �,�. t`�• <br /> -- ---"���,,.,���,,,�,�r � �; n .�l�l �� <br /> � ._IIo<ebiboulsidc - .-.�1.�---' � '� <br /> ' "-'�' "Ilose bib G�:buil�ling purposes I � 1 I '�f <br /> "'"'"" � �1�� '1 <br /> _A��sc bib msidc /: <br /> "'"_'_' \�\\\PL�_,_...�" ��/ <br /> ._Bi6(or slable cnnlaininR.'-"'_''_-sL�ll_ <br /> ___"_' ! �l� <br /> \umhrr n(persnns in family ��1. <br /> .. y � ��'tLr � <br /> - (2'_'Num6tr uI rao��m iu building ,_�_ <br /> - . ________ ______ <br /> '1'hc Prcmices arc ln bc uc� as a_.-.- <br /> ._"'_'___'__.. <br /> . . _ '_" ._"_"_'. <br /> ., ' _"_"_ _""_ ' . '- _ <br /> I hc awncr ot lhc Prenu<c::�s <br /> Thca4crnlis _____.'_.__'__'_._'""-.___ ____. " _._"'"'_ <br /> This :q�plicalion.nithouKh sipned.shnll nnt bc 6indinF��P:��� thc Gip, unlil ac <br /> cepted bp 7'he SuP�nntenden n(tl -RSAer I)r}tnilmenL /'�� % <br /> ..(.�(::/__J/f/Y7.l. 1.4C.1G- __nrDiica,v i, <br /> SiFned_' --.. / <br /> ,��g L�' - -- _ _ <br /> :�<<�,>��a �-- �. : :,�,�.. , <br /> �� ��--, � <br />