Laserfiche WebLink
; <br /> ,�', ._;! �' . - � / - c-,v ,_,� �-. <br /> �✓. D. Form + I50o .1-I-17 C.P. ' <br /> CIT�! OF EVERETTa=P/ater Department <br /> Application for Water <br /> All binnks must be(Iled in or cmased oul <br /> F:verel4-.-. _�_�.___191/7__ <br /> ""_� - <br /> 'PO 9'HE SUPfiRINTE\DIiN'1'OF 7'HF WA ' UEPARTAfEN7'. <br /> l'ITY OF'F.VGRETT. <br /> 1 hereb5'��PPIy(nr�he use n(u�ater in accnrdan�e aith lhc rWes:md requla� <br /> tiov nf The {Yaler Uepar�nu•nL (nr purpnses and fixtures stated Uelow•. <br /> During the timc �hat �m•ni the water mains mac br Uken up by reason of <br /> :my imprnve�oenls authnriuJ Lc thc Ci17 of Fvcrett.in nr of any slrtet o� allry in <br /> �vhich ihey mvY have been laid. the City will nnt be rcquired lo Inmish waler during <br /> thr pmAress n(such improvements ln any consumrr wF.ose suppip map thus be cut <br /> ��if.ar bc liable fnr an/y�dam�gcs tar its failure su lu do. <br /> Applienliun No..-/-��.,�.._'_" <br /> q r <br /> Iilock ..._c�_ !� �.__..Lot.._12.7"_./3..�_.Add.._.�._ �_ <br /> �� " "'_" <br /> No."_'.� � 0 ..(�z�(-r.r_F<�+-1._..Strect <br /> . __ _...____"_ <br /> . _..._'___. .__�.—_7_.__..____- <br /> '1'he wurk tn Lc exrru�ed 61' .._"J'i�-__.�_�-��" _"_' "' plumber <br /> Sta1c size o(tap. v :, <br /> - -jj_.T�p to be inscrted in ihr main. /, � <br /> � � <br /> --"--�'.R'ater dnset � <br /> ._.._�_.Aath . . . .,. <br /> -�- .-- .11rinal . <br /> . ----.—.Plain faumt insidc ...� . <br /> . .____._Side�valk •.v�isher . , <br /> - ._'_.._Husc bib nu;sidc � <br /> ---"'-"'Hosc 6ih(or 6uilding purpuses � .' . <br /> .—.____'_Nusc Gib insiJe ." � <br /> "_""""'f3i6 for stablc ront aininR._""-..._s�all. <br /> "_- /"N......�er n(persons in familp .��. .�. <br /> . ---..I�]_.Numberufruomsin6uilding <br /> Thc premises arc ln Ire used as a ._._. ._ <br /> _..'._____... ___'.. <br /> -__.__"__. <br /> �he rnvner o(Uie pr:mises is "'__"__' <br /> ".' '. .. ..""__ <br /> ...-__'__'_ <br /> r aKenl is ""'_ <br /> '"__."'_ _"_"_'"_'_"' '_" _"""'"""__..'_""_'"" <br /> :; :�ppGcalion,altlmugh signeJ.shall nut be binJin�upnn the Ciq'. until ac� <br /> ' d by]'he Superimendrnt uf ihe Vnl 'U ar�/m�•rt. <br /> Signed�"_'_' _'_ ��Y/�G ��q7�L__Applicant <br /> _ . _ <br /> . �pted._J-�/,/ � : <br /> ✓ ` /__�__.. 19y �� ,. <br /> / � �' / __. ._. .__._.._...� <br /> ou.Klnl.n�m.l <br />