Laserfiche WebLink
�-c�'Ctf' S ��-.2 X- It" . . <br /> 4���na_� 1�-'l�;-15 f�, <br /> ���:D.r'�.m r-'�;�ao-e.r.co.-c-zssd • • . <br /> City of Everett�Z�Tater Department <br /> APPLICATION FOR WATER <br /> AII binnks mast he fiiled in or crasecd out <br /> /- ........................19P.... <br /> EccreU�........t.-'.-/�.....�.�....�..... <br /> P . <br /> TO THG .`lJl'E3INTCNPF.N7' OI�' THR \ :\TIiR DEPARTilIE\�'1': <br /> CITT OR F.VIi1:liTT: <br /> 1 hc�.�.Lp apPly for thc usc ot�cntcr iu accordancc wilh thc rules nnd regu- <br /> lutions oC �.hc N:�lcr Depnrtment, for purposes :utd tixtures stnted 6elow. <br /> D�ring Lhe lime that any of thc �catcr mnins mnp br. laken up by rensmi <br /> of any �i:�pro�'euients nuthnrizecl by thc Cily o[ 1':r"r^it, i� or of m�y yLrcet or <br /> ulley in �':I�.ch iheY may hnce been laid. Uie CitY «'ill aot 4r r����uired to furnisl� <br /> anter dm�i�.�g lhe progress ot such imProvemenls to nnY c"'�"�'",OL �•hos� supPly <br /> ma}� lhus uc cut o[I, or bc liaLlc tor an� dmnnges for its tailcr.� so to do. <br /> ppplicntinn No...__.�A..�.�.. . �'� / 3 �� n --�p—�` <br /> y... - �_ ,.. <br /> IIlodc �.....I.� \ ..._/..(�. Lot...�.. ..... . __..... Add."`.'.1��-9.1-�`.. �.. <br /> IQu........�i_ .�.��....Lk�t,ft.eL_,Q..Q. �.)L.f..Bit�et <br /> .. _ ....... ._ 6 __.. <br /> .._ _....__.._........_.... <br /> ._...__.._ _ ....._ . <br /> Tim work lo be executed by...... ....... _ _ _. ._..PlumUer <br /> Slnlc size of Lnp. <br /> � �.._Tnp ta be inserted in the m.�in. � ' <br /> � � <br /> ..�....... ) , <br /> .,.._�.,_....R�nter closet ,� <br /> ....,..:::.....nn��, 1t . <br /> ' _f:.... Urinal ` / . � ���""`�� <br /> .... <br /> ................Plnin feucet insidc ' <br /> -.....�r.._.Sidc wall: tca,Uer � � . <br /> .L-.....]Iosc Uib aulsidc � ' <br /> ...�.':....Hosc Uib for building purpo=��s. ... I• \ .. . - <br /> ................IIose biU inside <br /> _.,'--,:;.,.I3iU for staUle contnining....................slnll............_...... <br /> ,,..�--._.Number uf persons in fnmil}' <br /> ..5.........NumUer of rooma in Luilding 'Q � � <br /> The premises nre to 6e used ns a_. ..f�� ��"'���� y- � <br /> ) ...;;... <br /> The o�aner of thc premises is...�-.I.J.,.-...�.... ....2"�.:�":�`�.. <br /> '�F � �gent is..........__.... __.................... ................_... <br /> , . .._......._................ <br /> ................ . ...... <br /> . iplication, nithnugh signed, shnit not bc binding uPon the Cit}•, until <br /> ,.. <br /> L � arrr y lhe Superintendent ot tlie \\��ler Pep�rimrnl. <br /> � � <br /> q� ._ / v'T�.:L.Z_fi_E._(._.__........_..ApPlicant <br /> c)/)Si6ned...V''�_�- :,.. ..�="�-- <br /> AccePtedC�l� _2�._'L2.. .. By..�.' ... /.:.. ... ... . ....... / <br /> . ........... .... <br /> -..................... �y � perintenSent <br /> � rr � - <br /> < <br />