Laserfiche WebLink
.,_..,.._..�.,... _. . <br /> '.,�,� �1 ;� .s E.-,=._.la-�� i1- 6- � P>r>'� <br /> VV.D.Furm t -:GCU--P.1'.Cn--�:G-'_'A <br /> City of Evei�ett�Water Department <br /> APPT�IC�.'I'IO�N FOR W1�T�F, <br /> AII blanks must bc iilled in or crossed out <br /> ' �VeTett............... �l��t����,./..:.�..�../l............]!)2...... <br /> I'0 17IM SUPliRINTCNDENCITY Or rV I'.�TT;nPPAP.T.II�NT: �� <br /> I hereby apply for .he use of u•:iter in :iccnrdance ���itli tlie rules and regu- <br /> lutions of the \i'ater Depnrtment, for purpose� and fixtw�es stated Lelow. <br /> Dm�ing thc time thnt any of the �vater mnins may be tal:en up bY teasm� <br /> of any improcements authorized by the CiLy of �cerett, in or of nny street or <br /> ulley in �vhich they mny hnce bcen la�d, the City will not be required to furni:;h <br /> wnter during tlie Fn•ogress of such imD�'ovmnents to nny con�umer wliose supp�Y <br /> may thus bc cuk off, ar Ue liable for nny dmm�ges for its fai!ure sa ta do. ' <br /> �i / y l <br /> Application Nu.._Q...3-_��.T....�1��.�.......... 1 <br /> "' �-�;., , � i . ; <br /> " �........_..____.._._. <br /> Bladcl..�.-.-Lot......._�.>`J.,._..-..._...... . Add...._:.:...._ _ <br /> 13 0.3......;,_��, <br /> xo.... ._.. . .... ............. _.............._ cTeec <br /> • ' ......................_. ........ ............_.........._.. <br /> -...... <br /> ......._..._._..............................._......_.........._.. ... <br /> Tlie work to be esecuted bY.......-........��. .. __.___._Plumbcr <br /> State size of tnp. <br /> _���,....TaP to Ue inserted in the mnin. ' <br /> „_,,,[........R'ater closet <br /> ......�.........Bath �o <br /> ....�r......Urinal - ., �(� / <br /> .....2...._..Plain fuucet inside ` <br /> ...._`........Sidc cvnik wusher <br /> ......�.........I�Iosc Gih oul;ide <br /> ....._—..._Flose bib for huilding Imrposes <br /> .._.,._-.-..IIosc bib inside <br /> —..Bib for staLle containing....................stall.__....._........ <br /> ........... <br /> .,.,.,_.. ..Number of persons in fcmily <br /> ,._.�,.�........Number of rooms in building . <br /> The premises are to be used ns a...... ... . .. .... ......-�..�. _��.�� �--�- � <br /> _ <br /> The owner of the prei�iises is...�r(�G6�lZ.-t-�..�.-��-��•-��-� <br /> �gent is................ ......................._.............._....__..........__.... <br /> ................................... <br /> nvplicntian, nithougli signed, shnll not be binding upon the Citp, until <br /> . . 6 �/ J Na�fr Depnrtment. <br /> � Sho1S�perintendent of the .�V..:..-. ............ .... ....����licant <br /> 1 <br /> _:.....:....... .�.y� ��'�,�. <br /> _�/-�p ^_..__ 'Jo _ .... By..... ... ._ /��./�. '/r!l1.................... <br /> - . _. ... ...... ��>f/ !i ' $�y=yprmtendent <br /> � <br />�� <br />