Laserfiche WebLink
.. �. i .� ,_'t -.. . " . <br /> . . .. � ✓ <br /> W.D. Form 1 I SCO d-I-1 i '.P. <br /> CITY OF F,VEkE7'Te=Wat��r Departm��nt <br /> � Application for Water <br /> � All blanks must bc 511ed in or crusscd uut <br /> � � <br /> Eccretl_ _____ ____________"'_.' �/_�______.191�..__ <br /> 'PO THF.SUI9?RIN'I9:\UIiN'I'OP 9'HIS NA'PIiR UEPARTT1IiNT. <br /> C17'1'OI� E9IiRF.TT: <br /> I hereb)'appi7'for the use uf water in acrnrdance with the n�les and reKula� <br /> iinns u('fhe �V:rter UoP���ment, fur purpuses and fiztm'es slated bclo�v. <br /> During the time �hat :m>'o(the water mains may be takcn uP �Y rcasnn of <br /> ;my iinpr��r�menls aulhurizeJ h�' thr Cily n(Everett,in or of any sircet nr alle)• in <br /> a�hich Ihe)' ntal' hm•e bee.n I:�id. Ihe Cih� will nat be rcquired to Icrnich w'alrr durinp <br /> �h.•prngress ot such impravements to any consumer w�hnse supply may thus be cut <br /> n17,or bc liablc for any damaKes for its(nilurc�o�n dn. <br /> / q Q/� <br /> Applicatiun No.""'�% /-�/--�'-_ �') ) <br /> 131nck .__�� _ ,}�L�uL�'�_/ 'd'_"." "AdJ ..�j!-w'��O/,fu✓((!.1/., <br /> \o___�.Y�__ _../-v4iti+-t.�i/_____..___.. trcet <br /> ' ____ " __"" ._' .. ._____" <br /> . _. __"_" ' _"'____'_'"___' _ � <br /> '___ <br /> The aork la 1>e esrtuled by..'--" ".-"__ ''Q�r'--'._...__ . .. Plumber <br /> Staic sizr�d lap. � <br /> 3��_Tap tn bc inscrled in thc main. <br /> � � n � <br /> __/____\1';llcr dnsct <br /> �� <br /> ' _'�. _Hatli " t k�V A. <br /> � <br /> _1 �L,�; <br /> _. ._. .ndnril %ti7� � � \ c `.. <br /> � � <br /> __.____PlninfnuceLinside � ��� ������\•�z. <br /> __'_._�idc walk w�ashcr \� i . <br /> __ . . � , "';_!��_• F <br /> _._Ilusc bib aulsidc . <br /> . � i!h� ) t�-�tr '; <br /> .__.____Iloschi6(urbmldingPwpo�cs • , � <br /> .___HaseLibinsidc . '��:f"""" <br /> �. <br /> . __13ih(orsta6lecuntaininl:.....------st � � ". <br /> __�_ _'Numbrrnfpersonsin (�mil>' ��rCr��S.".• <br /> .� _.Nwnhcr of ruontt in building e fi s �M-'-+Y'+r� "'e!. .�. , . <br /> _ <br /> l'hc Dtemises art Iu be u.ed ns a_.'_""_'_"___"_"-_"""""'_" """ - <br /> '`�henwnero(theprcmicrsis _-__. ..__" .... .__ ._"""_'.."_'_'. .._- <br /> 'ihcaRenlis "" _... . .__"_."'."_ .. .' _""__"" ___'_"_'-_ <br /> 'I�his :�PPlicaliun, :dthough siRned.shall nut bc LindinF upnn U�e CiIY. ❑ntil ao <br /> ccpted 6s The Superintendenl t te 1Vn'' �)eparlmenl. <br /> 7 �� <br /> SiFned Cr-_ . , e�✓ APPlican� <br /> � <br /> AttePledr$ _ � .____ _ _191f� r 14e._.__ _' ... _"'__ <br /> sur.�,�.rv.n..��,: <br /> "' "_ <br /> . � <br />