Laserfiche WebLink
cn�v ���r-zs-�tt - . , > ,-3-yy-s7 <br /> N'.D.Fnrm 1--ISUo—E.P.Co.-4-1G.2� <br /> City of Everett�---Water Depai•tment <br /> APPLICATION FOR WATER <br /> . All binnks must be fillod in or crossed out ' <br /> Cverett,.........Cl...✓�.._..................................................I�J2�_! <br /> TO TI9E SUYERINT6NDENT OF THG WATF,R DEPART71iETT: <br /> CITY-OF F.VPI:ETT: <br /> I hereUy npply for the use of wpter in accmvinnce a�ith thc rules nnd tegu- <br /> lations o[ the Nater Uepnrtment, tar purposes nnd fixturce stnted Lelow. <br /> lluring the time thnt any of the water mainm m�y Ue tnken up Ly rcasm� <br /> o[ nny imProceme�ts euthorized by the Cit3• of F.reretQ in or of nny atreet or <br /> nlley in which ihep may heve bcen Inid, the City tt�ill not be required to furnixh <br /> w:der durin�; lhe proqresa of xuch imp^ovements to xny consumer wUose supply <br /> may thus Lc cut off, o�r'/be linble fur auy dannges for its failure so to do. <br /> APPlicntion No.....d.�O....�,.................. <br /> i <br /> Block............:.....:._L......_.... Lot.... ...:�........................... Add.................... <br /> �' /r . ...._.___..__. <br /> N o.../,�.,...,Jl�l.i.4�.:�Gi2:,–`�--_3tre ei <br /> ......__..__......_................._..........__........:...... � <br /> . ..................... . _.._._.._............._...... <br /> r <br /> The work tn be esecuted hy._........_ �� .. .__.............Plumfier <br /> S ate ai¢c of tnp. � ��. � �. `�j �� � <br /> ���1.......Tnp to Ue insette�ju he mnin. q n ._ <br /> L'P .5–,--_ <br /> .......�.......��'nter closet <br /> ......�/........Bnth <br /> ........-....Urinal <br /> ...�.......Plnin faucet incidc <br /> ......_`.:..Side wnik wnsher <br /> ._../......._FIase bib oulsidc <br /> ._...�. Slose Lib tor building purpoves �' <br /> .. <br /> f, <br /> _._.--......Hose bib inside <br /> ....::.........Bib for steLle contnining....................stall.................... <br /> .....:-........A'um6cr of persons in [amily <br /> ...�. ...Numbcr ot rooms in building / <br /> The premises nre ta be used as o/7 �d7/].�G[!¢� ('..�_ <br /> The owner ot Lhe �remises iq�T�_,p �j .. . ,(�,u�t� <br /> e`1 <br /> Thc agent is.... .......... ...... . .......... .. . . ... ........ <br /> . . �..................._........ . <br /> 7'his epplication, nithough slgncd, .Imll not be binding upon Lhe City, until <br /> u•� �ted Uy the Superintendent of the Nnter Depnrt ent. <br /> � � <br /> � � /� / � <br /> Si6 � p � <br /> ned .....�.G....�.,....4r.:...._(�;�...�°',.���,:'.�pplicant � <br /> ' �'_�:...�_. .... 102...... B S��� � � � � / ; <br /> . y......l:=wLli. . -- .._...... ._ i <br /> rmtendent 1 <br />