Laserfiche WebLink
C..u.�-m �!'.�-zY- /f. u.�. _ . - - . . . . <br /> R <br /> t��.n.r�o.�,+--�cw-e.r.c��.:.e.2� <br /> City of Evarett�Water Department <br /> APPLICATION FOR WATER <br /> All bl:uil:s must Ue Cilled in or crossed out <br /> S�•erett,...._...........y,�l...................................192.��... <br /> TO 171E SUPERINTINDF.h'C OR 7'lll; \VA'tER DEPAI2TDILKT: <br /> CITY' OP EV�:ItGTT: <br /> I herehy nPPiv for lhc usc uf O'11I.1'i 1Il :llICP�I111CC tP1�Il thc rulcs r.nd rega- <br /> latiaas of thc R'ntcr DcParlment, tot pm�poscs rmd fislures stated bclow. <br /> During the lime lhnt nny of tUe n•atcr mnins mny be lnken up bY renson <br /> o[ auy in:prueemenls nutLori:.ed L•+ thc City o[ l:ecrett, in or of nn,y aLreet or <br /> nllcy in �vhich thcy mn�; hnve bce�i laid, Lhc City will not 6c mquired to furnis6 <br /> wnte� durin� the P�'�6resa of such improvementa to nng con=umer t�•!�ase supply <br /> y �/....!..../...........y. �� D 5 �� TC 6o Ln rl�. <br /> mn �hus Lc cnt u[[, or be liablc for :m dama cy for its fnilu <br /> Applicntiun No.__.. ... . .. Add........_ . . : <br /> � -E-�� ......�....' . .'._.. <br /> Block...........�...�:U._......_ Lot...�...._l-_. ..!�...... ... . .._..... <br /> No..._.:..�.�..�...........�G.:._.G'i�i�<`:,Street <br /> ....__. ..............._............._..........._.............."^.. .._ .........�.. ............................... <br /> _. <br /> The �cork lo be executed by_._.:'�����- � ��'�'-�Plvmber <br /> . .�p � � / ,�. <br /> Stnt� size of tnp. �/y 5__.� _ � � �' <br /> ._��''-..Tap to be inserted in the ronin. � !''., � �._ , � � �✓�� '�i <br /> ___L..__.tvat,r etosec <br /> ��'' l,::<F , j y � ;, �� <br /> .....�........IIn[h � . � FF�j � ;) jOnl�{q''..i <br /> ; .,,��.� .. . <br /> _ / 1 � u�� ,. .___ <br /> c��....�..�� C.,�,... . . <br /> ......:_....._�rinnl . ,, ,; ,. <br /> � , , <br /> .....I lnin fnua�.` ire.de � .............._ �� <br /> ...._�.- ' ..,-.- <br /> _........Side wnik ae,hcr i�.. <br /> ......�_...._Ilose Lib out:ide <br /> ,._.. .. .....iIos� Lib tor building purposes <br /> ..._-.........Ilose Lib insidc <br /> .................Bib for slable containing......._......_..sinll...........__.._. <br /> ......./....�.....NumUcr of persons in family <br /> .....y:.....Number of rooms in building <br /> The Prrmises nrc to bc used ns n .._ . }�7 . _ ...... <br /> The owner of the premis ts . � a .. � . Q.Z,.�..�"'. _-- -___. <br /> Thu ngcnt is......G....�.���.... .. .il�.... ...... <br /> � npplicntin••. nlUiough signed, ahn vot bc binding upon thc City, until <br /> d b• the F.c�crintf�d nt of the R' ' De nrtment. <br /> 3 SiGned.'....tl..�V"�'..".'.....A:/`........"`.'._....^:`.'.%�.�- Applicant .. <br /> _ .............. . <br /> � J.... .. <br /> , � /! �� <br /> - ..- ./._r:..:._....19z. .. I3Y..;,�.. ...._ ,ry./.J.r: ..............._........,. <br /> i �� Saperinlendent/ <br /> • r <br />