Laserfiche WebLink
> , 1p' � <br /> W.D. Fo�m 4 ISDO d-1-17 G.P. • ,� �,�.� 1n{� <br /> CITY OF EVERETT-=Water Department � <br /> ' Application for Water <br /> All blanks must be filled in or cmssrd nut <br /> Everelt.__'_._""'__ ___'___�/� t_'____191 �.___ ' <br /> TO THE SUPERINTE:JDEN'P OF THE WATER DEPANTMENT, <br /> Cl7'Y OF EVERETT: <br /> I herehy appiy for the nse of w•ater in accordance with the rules and regula- <br /> tinns of Thc W�ter Deparlmnn[, fur purpnses and fiz[ures stated beiow. � � <br /> During the:imr tha[a:q�of the water mains may be taAen up by reason of <br /> any impruvements�mthnrized by the City of Everett,in ur nf nny strcel nr �Iley in � <br /> which they may have been laid,the City w•ill nat bc requirrd to furni�h�vater during <br /> the progress of such improvemenls to any concumer whose supply may thus be cut <br /> nff,or bc liable(or any damages(nr its failure so to do. � <br /> Applicnlion No.,'�(""l.''� �"' "_" <br /> � Hlock .L.'.�i.-r- ------LoL, ,--61------'----'--__.Add-�---� ---�------�---� <br /> \o.__._.....cl. _'�_L I_..__IAJ.R�AO�..Street <br /> _'_". ....._..__" . _'__-__-____._._________,,_I._-_'___n-______.___'__ <br /> 'fhe work ro be executed by._.__.._�._�(..��...__ Plumber <br /> Scalc sizc uf tap. <br /> .__/a.��'P�p to hc inscrted in the main. <br /> "J'___-_Water doset <br /> __).__._Uath p <br /> "'_ __' _Urinol �� � ��. <br /> _. _..____Plainf.ucetinside , I � . . <br /> .__._'___Sidewalku•ashcr �I. . . �. � <br /> 7 I <br /> ________Hnacbi6outsidc � ..';:/�','� �,I . <br /> ..._._._..Hosebib (orauildingPurpnses ' � � „ �.. � , <br /> ._.._._._Hnsebibinside . ll�, � <br /> � I <br /> __"___'_13ibfarstablccantnining.____...__stall._.___'_ � <br /> """'_.Numbcr nf persons in [amilY � `�.� � _ • . . . <br /> �. \ <br /> __S.-_Numbr� nf rnom�in building � � � �7� � � � � .. i.�.i ' � . <br /> ` <br /> 7'he Premises • n be usrd as a_..'.��-e-[i1�1-\""'—' . <br /> �/ n """ <br /> '1'he o�ener nf � ,remi.,_s is ___Y'lL��l1.'�. - ' """__" <br /> . The n6ent Ir "__ ��"_ <br /> rs <br /> 7'Lis �pplicai..,�.,altl�ough signed, shall not be b�. IinN upon lhe Cit}•, until ac- <br /> repted by Th=Superinlendent nf the�Vnter Uepartmcn�. <br /> SiRn�d_.__'.__._.'__Q_�_. i:.�_�'.[- _' _. _.Applicant <br /> rlcccPtedf-_�.�. __.__191 (i' By... . _ __ / _ . . <br /> f. %-.-.. � i -- .� X_�fi /.'2�� ��J��.�_. <br /> ti <br /> rr <br />