Laserfiche WebLink
a�. n. F..�,-� ♦ icco :;.,_r, c_r. <br /> CITY OF �VERETT==Water Department <br /> A}�plication for Water <br /> :111 blai�ks musl bc fillcd in nr n'nwrd uul <br /> — _—_ �/C�O <br /> � ErcrelL ..' ' _'- -______'191��..-�• ' <br /> 'I'l) 'Pllli SUPIiRINT1iNUl?N'f OF'fHli lVA7'IiR UIiPAIiTAtE\7', <br /> l'1'Pl'OP EYIiHETT: <br /> I herebr applp for the use of w�ater in accordance w�ith the rules an�i regula� <br /> ri�ri:nf The \1':uer Deparimmt. (nr purPnsrs :md lixuu'es�lalcd bclow. <br /> During lhr lime IL:�t xnc ni lhe��:�ter mains mnr br laken up 6y re�c��n of <br /> :my imprm•enrenls nulhorized bc lhe Citc uf Ecerell.in ar uI an)' sircel nr aller Fa <br /> whiih[he} m'p�havr been laid, lhe Citv�rill nut bc rcquired tn lumish wnirr durie� <br /> lLe pro{;ress uf sueh imPrnveinenl+lo any concumrr �chn=r s�pply mac Ihus be cut <br /> nf(,or be liable(or any dam:��;es(or itv failure so lo dn. <br /> n � <br /> :\Ppiicn�ian Nn._�'""�. i._'�"' --_j <br /> i;i���k db ° ��_�_5 ... _ n�ia <br /> p� � --. <br /> ��,....a9� 51- ..�.�—iti-�'Js�.- .. s«c�� <br /> --.. __ -_.. -- ----- --- --- - - <br /> '1'he�cnrk �uberceculedby. . . ..."__".. "_. . .- -..- -_'. Plumbrr <br /> Slatc size o(Iap. p <br /> _��a.:_'1'ap lo br. inu•neJ in d�c main. il o ' . <br /> _ �" --11'atet clo�rt � •� S O <br /> _.�___ <br /> __.I3nih /�� <br /> __. .__ .Urinal <br /> . '__.. Plain faucetinside <br /> ' ____'__Sidewalkw�ashcr <br /> __'_'_._Husc bib uulsidc <br /> '_'_ ..-Houbib (nrlmildin� Vw-pn=rs <br /> . .. ___._Iloscbibinside <br /> _"'. __RibfureiablecunlnininR.._ .. . st:Jl.. .._. <br /> . ...Numbcr nf persnnv in (amily <br /> _.b._._\umbcr nf roumy in building . ����� � q Q <br /> 'i'he Dremises arr�o be usrd ax n./4�J-�J<f<4�-�_. L...�!�--�-J:_•...... <br /> The o�cncr of lhc Prrmi.es is ._"'. . .""_. .. _ . . . . _. <br /> Theauentis ___ _._ . .. _______________ ..._ .�. <br /> 9'hi� ::pplicntion,ahhnuFh signed.shall nu1 br binding upnn ;Le CiIY. until :ic� <br /> cepted by 7'he tiuperinlendent d the/1'��Ie,_r/Uc/V;��Imrni. / <br /> Vil:llcf�_�Y/-�'--..f/'�-•��N:I/!-(/1=(i={1�lli�':itlt <br /> /�) /f�. /� <br /> :,lllUll^� /// ./�(�� . ._.�� �4\' <br /> / . .�. . - .�... I�I^I•".'=�� / <br />