Laserfiche WebLink
>_..�. __. _.. .y . . . - ::.r,F�.ti <br /> I'� <br />� � :� <br /> 1� <br /> I ' <br /> �:, <br /> - j' �� , . . ' i , . . I <br /> � < ' . �c_�.. ...._.. , ,. <br /> y,. . ', ; � . .. . . <br /> \C.D.Ynrm 4-1"u��i�—F..l'.2n.—u 2G"a • " . . <br /> � • (�i!:y of Everett�—�3�iater Departmer�t f <br /> 4,� <br /> APPT_,ICATION FO:R �TA TF R ;::+ <br /> 911 binnlcs must Ue filled�in or crossed out / �� <br /> ---z�: . <br /> 2 ...1�?-�.. <br /> liccrett�.........__..._..........:.._......._......................... �.�i� <br /> CO TIiE 3UP�12I;ITliNDENCITY OF EVEP.�TT;D�PART➢f�NT: <br /> I hereby �PP�� for the use of n'��nT �° �«'ordance�cilh the ivles nnd regu- <br /> la�ions of the Wutei PePartmentof tne��2ter m:i�»,s ni2Y�lie taken uP'�Y reason <br /> . Uuring tne Lin�,e thnt anp l� �,�t o� �,�.crctt, in or of nny street or <br /> of uny ��nP?'�'�'�»�ents authm•ized US the}Cit will not be ic4u�red to furnish <br /> allry in �clvch they n.ay lia�•e Uecn lnid, Y <br /> may Uu s��b�cut off,cr Ue liaLle for�nny dnmaSes�for its�f:i lure�so`tosdo��P��,Y <br /> 1Pplication No.....::L....._:::..--:....:........... <br /> i <br /> � .__...... ._. <br /> locic . .... ..... . .... Lot.... .. . � <br /> ........ Add.. .... . ..__.... <br /> ', . i p t�+- c� ����h„J Street <br /> B <br /> -tia.... 3 4 _.__. / . .. . .. <br /> . .I I��.�F�ir'i 7. _ . . . .............. <br /> .«.. _� <br /> .. .. ... _ Cl <br /> .. ..... . - ...Plum er <br /> �.P.�-_.._. ._ . .. .... - . <br /> The work to be executed by..._._._. <br /> ci�te size of tnp. ; <br /> �i�....._.TnP t� bc inserce3 in tlie main. � � <br /> ..... I (6 u� <br /> .�._.._. Nuter closet 1,/� <br /> l/ <br /> ......,..`.--Zath <br /> - _ _ <br /> .............._TJri nnl <br /> .......'._'�...Ploin fnucet in�.�.i.i^ <br /> ..-:.-�.:-:Sidc wu11c n•:c'_,,; �� <br /> _._..-_:.-.,.I-Iose bib outei�la. �� <br /> _�,-..-:::......Hosc bib for Uci'."�..�. ' _ -� � � <br /> .._�;:.,,.._Hose biL insidc <br /> .:tall........._...._ .. <br /> ....-:.........Bib for etaUle contninin�...... ............. <br /> ...:............ATumber o= Persons in famil}, - <br /> ._.(�......i�umLer of rooms in bvildine/� ' �i <br /> The nremises are to b� used ns n...T . . � <br /> ,i-�C. <br /> � ........................ <br /> T�- - o�ener of the prer.iises is....5�-....�.'. . .. .. <br /> _ ... ...... <br /> , _............ ..........__......_............. <br /> � neent �s....................................._......._..... . . <br /> ��plication, alChuuqh eigned, shull not be binding nPon the City, until <br /> � the Superintw�dent of e Nater Depart ent. <br /> 1_� <br /> �� Q� � APPlicnnt <br /> �... �f' . ....... ... <br /> .:.V ................:_. ... <br /> 3;gned.............. . ....... . � �y <br /> p /�....._. -s�P/... '............................ <br /> �..��.......197..��.. B...� '�/ �.��erintendent <br /> i <br /> — - � <br />