Laserfiche WebLink
.�...C3� 9�Y- 3J-:'I �W� �. /'.� �": + .i - <br /> � lC.D.Form�-1600—E.I'.Ca-6-:6�2/ <br /> City of Everett--�Water Department <br /> APPLICATION FOR WATER <br /> pll binnks must be filled in or crossed '�t <br /> Tecrett........ �.G..S................1�0. <br /> ................................ <br /> TO TAE SUPSRINTENDENCITY OF EVP12liTT;nEYAIiTnSENT: <br /> I hereby aPP�S for the uxe uf�cater in accordnnce �cilh the rules nnd regu- <br /> lations o[ the Wxter Department, for PU�'P�'es and [ixtures etated helo•.v. <br /> During the lime thnt nny of the w:�ter mnins mny be tuken up bY rensan <br /> of any improcements nulhorized by thc i}�c C ty x�ill mt�bc�renuired3to�fumish <br /> alley in which they mny hnvc becn Inid, <br /> mny thus�be cut off,orebc IinUle for���ny damnqes�for�Ytsntuilurcrso iogao°nn�r <br /> n��i��oi��� xo._._.......9o.7S........ ^ �'.f-�,� ; ,-, <br /> Nock......��.....'.r...�....''. ...... Lat......s......__......._....... <br /> naa... �!..�_'1 ...�....., .__ _. <br /> � o y .._�-Q-..��...stT��t <br /> _ _.__...._...... ...._ . <br /> _ . <br /> . ... . _ _ .......... .... . _. <br /> .�¢ ._.............Plumber <br /> Tiie work to be executed by....... ..._._. � � <br /> Stnt :izc of tnp. 2� � <br /> �. TnP to be inserted in the nmin. � •, � � " if <br /> ..... �.. <br /> .ry u <br /> ....._.:!.....R'nter closet / J `,,, 1��1�0 � <br /> .........�.....Bnth ���. . <br /> ......_��.Urinal <br /> ..��..-...Plnin fnucet inside <br /> ....-.-.::....Side walk washer � . <br /> .�.....Ho=e bib outside � � <br /> ,,,,_...,...Hose bib for building P�rposes <br /> ......_......_Tiose bib insidc <br /> .._ .....Bib for alnlle conr�ining....................stell..._............... <br /> ,._`�"..-....A'u�i�bcr u! persons in fnmily <br /> _........r�.......Number of roums in building • <br /> Thc Premises are to be useS e n. .. .�J-, � - e- - - �--�"��-'�'�'" <br /> The o�vner of the Premises/�.�,-�-[!-��`-'�--+�-�-'��"�� <br /> � ' . _. ..._.........._.........__............_.........._................._.... <br /> Thc ngent is....................._..... .. ... <br /> r,ciTted byl�he Superitt ndcntsof lhc4\l�atcr�Depnrment� upon Lhe CiLy, until <br /> h ' tJ-¢zt�..................._..........APPlicen! i <br /> Signed_��U�-�'�- � <br /> c�- — . .... .. . . �::........ <br /> �.. <br /> •epted...�/....",�..'�.�...-..��2...... BY.. �OF ...- dent <br />