Laserfiche WebLink
�.: . . ,_ _ ' 'Y . . . - ,.: ._ - _� - - . � <br />♦ <br /> .C!£iCL�-JLA-''V"C JAn.�ILa,'�`li"�" II., ,� `].. I�IY: +. <br /> v' <br /> �Y.I�.Form J—IF00—E.P.^.o.—!�26-.4 <br /> �;ity of Everett�W�t.er Department <br /> ,P,P�LIr.��5!,ATIQN F��R W��'TER. <br /> A71'blank"s mnst be filled in ar cm�s�d out <br /> _ / <br /> B�•crett�.........._..._.........._....... .�.--......................... <br /> ..1�2.�. <br /> TO TH� SUPGRINTEND�NCITY OR EVEl ETT:ll�?ARTiIiI;NT: <br /> I hercUy nPPly for the u,e of watcr in accardmice �vith .he rules and regu- <br /> lutions of thc 'i'utcr Dep.vtment, for purposes and fix�ures stated Uelow. <br /> During the time thut any of the wnter main� may be taken uP liY rcason <br /> cf any imP[���"�ents authorized by the City of ��'cretY; in or uf nny strect or <br /> xl1eY in wluch ��LeY m.•7 hava been lmd, the ''ity �vill not La reqaired tn £urnisU <br /> wnter during the progc.:ss uf such improvements to nny can��umer whose supP�Y <br /> :nay thus be cu'c off, or be liaLle for any damngcs for its failure so to do. <br /> Arplicalinn No.........�..�.� 3 .: �� `I � . <br /> ' .� i �r ! �1. Add...:.::. _._�.................. ..... <br /> 131ack ... _ � � . L,oO _.. . ..�. . ._.... - � <br /> . l.iN <br /> � �..�.�..`— � � . . ....Slreet , <br /> No........... . . . _.. <br /> �•�I ,�_. . . ..._ �. <br /> ... <br /> .... .__. .. • <br /> .. .____.... . <br /> ...... _....... ._ V <br /> The work to be executed bY -. .--- � �- - <br /> .....Plumbcr <br /> Stn e sizc of t�p. . <br /> � � <br /> .... .2t....:i�n t�> be inserSed in tlie main. <br /> _.....,�... .Water closrt <br /> � .....BatL i <br /> ...............Ucinal � � r�� U <br /> ............ / ' j j� <br /> .......__.....Plnin inucet inside � 7r� r <br /> . ..............Side n•alk •.casUer �,� ,l/ '. <br /> � <br /> _.............."tfos^_ bit outsidc � �% . <br /> ...............Iiose Uib for Uuildin� Purpose= �, f1(r� �� <br /> Y� <br /> _..Hose bib ir.sidc <br /> g....................sta'1...__.......---�-' �� <br /> _...._........Bib for stable containin ' <br /> ...............Numbar of persons in fnmily <br /> � <br /> . Nur.^ber of roams in Uuilding <br /> ..... ...... <br /> . _ . ___........... ................. .. . <br /> The Premises are to be uscu ss a...._.._ . ..... <br /> ,...... <br /> LGi��I <br /> �7....... ................................. . <br /> The ov%uer of the prerlises is..._. ...._... � �� <br /> __........ <br /> �-�'r ,�,! t �. ......_.................._.. I <br /> T5zagent is......................:5....:........'....�::..:::::....-�.--...................._. <br /> Tl�is npplicaticn. nithough sibrned, sbrll not be binding �pon the City, until <br /> ❑ccepted by the SuPerint nt of the Watcr Depnrtm^nt. <br /> ' '�1�T!"L/��"w�i.l......�nplicunl'cy <br /> Si6med..... .�... :?arP..r.... ..,. f.... .... ..... <br /> ,�!f����..Jd��.................. .. <br /> / F <br /> /4 - '.J��192...... BY�.<y�� • <br /> � "" �� � rinter.dent <br /> Accepted.._..._.'_.............. . ..... . �,-e:yp, <br />�• <br />�MY�a��� ■ s .ii�. . _ . <br />