Laserfiche WebLink
w.n. ro,m a j ;i . .� <br /> CITY OF EVERETT-WATER DEPARTMENT <br /> APPLICATION FOR WATER <br /> A11 6lanks must be filled in ur crossed out <br /> L•'ccrett,.. .____._S - ,' ; <br /> _.. ...� .__.. ._...19��� <br /> TO 7'llk: SCPF;RIN7'EtiUENT OF TiIE WATER DEPARTD4EN1': <br /> CITY OF EVERETT: <br /> I hereby app7y tor �he use of water in accordance with the rules and regu- <br /> ]aliuns ot thc 1Vaicr Department, for purposes and fixlures stated bclow. <br /> During tl�e time ihat any oJ the wafer mains may be taken up by tcason <br /> o! any imprnvemcnts ;,uthoriud by lhc City of Evcrett, in or of any strect or <br /> nlley in a•hich thcy may have been laid, the Cily wi]I not bc rcquired to furnish <br /> water during ihe pro�ress of such improvemenls to any consumer whose snp- <br /> P�Y may Lhus be cut o[f, or be ]iablc for any damages tor its failure so to do. <br /> APPlication No.../_f�-.�../...�/...... � <br /> � <br /> I3lock..... .. .... Lot... ._.✓ == ---t�.. ,c�_�. <br /> . .. ....... ... , . <br /> i .. ._. ._ Ad . :,f..Lr...Ls.t<� c�� <br /> :vo....___.. . � <br /> _ S. `�-r:. ._:� . .....:s_...� 1�.�_.;.:.c.�..' <br /> .._...Strcet <br /> .......................................................................................... . <br /> _... <br /> he work to be executed by.................._...._._.. <br /> __......_...........................Plun-�bcr <br /> State sizc ot tap. <br /> -���-�-��......Tap to be inserted in the main. <br /> -�-�.....f...Walcr closct <br /> , ' . <br /> ../....1..Bath �{ i_�`c ts.�...� <�` <br /> �' <br /> ..__._.......Urinal /,�- r. . ..�i �- <br /> - . .. ._..._Plain faucct inside � <br /> � . __._.Sidc walk uashcr <br /> ��--...._Ifosc bib outsidc <br /> .;� , �'c ��c <br /> � . .._...Hosc bib for building purposes - <br /> - . .__....Hosc bib insidc C��,�`� ; t � •. -x-�r )�� <br /> ..� �-�' <br /> - � _ ... _flib for stablc containin .....eWll.......`,: Y ' .is <br /> s._.......... ..r,��r; �,.. <br /> .-.._.NumUer ot persons in fa�nily , � <br /> .:� .._.NumUcr ot rooms in building +��^�fh b� <br /> ��, . <br /> 'P}ic Premises are to be used as a....._..._.......... <br /> _ .........................._._.. . <br /> The o�vncr ot the premises is_...._,...._._._. <br /> ._.........._.. <br /> ._._........................_. <br /> 7'he agent is............._.._... __. _ .. <br /> ....___ ._.. <br /> __.. . <br /> _. <br /> 1'his applicalion, thnu�h signed �hall not be binding upon ihe City, until <br /> nr��,�ptcd by the Sup inlendent ot the Watcr Departmen[. <br /> iFned ./�t i..�/!�_.�r.c.n.,y �L_. <br /> � . . . .. .-.....Applicant <br /> , _ . �;• <br /> � �5���,�-rintendrM. .. ... <br />