Laserfiche WebLink
�.x.,u� �=s �:..,: , <br />✓ <br />N'. U. Porm 4-1500—E.P.i;o: -L-2G�24 <br />_.����._._�s.��-� - ..' c',u_ <br />� <br />City of Everett--�Water Department <br />.�PPLICAI�ION FOR. W1�.TER <br />All bl.inks nmst be filled in or crossed out � <br />_ / <br />5 q <br />�vcrect ............................................�..L.. �..................1'��... <br />TO TIIE SUPERINT�NDENT OF TII� R'F.'Ci'sR DI'PART\iGNT: <br />CITY OF EVEP.�TT: <br />I lim�eby :iPP�}• for iUe use of �cnter in :recm�dance �vith the rules nnd mgu- <br />Intions of thc R�ater DePnr:mrnt, for purPuses zmd fix:ures stated Uelaw. <br />Duriug tLe time that :ny of lhe waler mni�is may Le tnken uP �Y rcason <br />of any� improvements auHiorized by thc City of ]3rcrctt, in or of any strcet or <br />alley in wl�ich they mny ha�•e bcen laid, the City will not 6e required to Furnish <br />water during thc progress of sud� iml�ruvemcuts to nny consumcr �chose suPP�Y <br />mcy thus Uc cut off, or bc IiaUlc for any d�unages for its fnilurc xo to do. <br />.lpplicetiun A�n..........�-�i / O <br />..........................' . <br />Block....................' �:..'............ Lot....._)........_...................... Add......._:._.�....:......._............... <br />�@.� <br />. ........_.....Strcet - .. . <br />No.....1L.o.2........—......��. _.-,........... _ <br />__._............._......._......_......._ .................�...J................................ _... .. _._..._.._._ _ <br />Thc work to be executed by........../�-�������-�--����-�---��-�--�-���Plumber <br />$(II}.0 fiIZC Of tU�. <br />�,�-.'......Tap to Ue inscrted in tlm mnin. �� <br />......_�.......Natcr closet � C� °_����" <br />....../.........Bath �� <br />._---::.Urinal ('�2 <br />.....�....Plain fnucet insidc � <br />..._'-.:.....$idc ���nll: tear,hcr <br />.....�.-::....}Iose Uib oulside <br />_..._�.—....Iiose bi6 for Uuilding purposcs � �' , <br />t <br />..... �..:......iIose biU inside � � <br />......—:::..I�ib tor stnble coutninin� ...................stall..........:...._... <br />....-.-......Number of persons in fnmily <br />............NumUer of romns in Uuilding • <br />.. <br />The premises are to Ue used us n....__.�L.�.(<.��� �-�L� <br />. . . ......................... . ........................ <br />The o«�ner of the premises is.........__ ...................._...._._........_....................._..._... <br />—. <br />Thcngent is ............................ ........... ._................................................................... <br />This npplication, n tho - signed-shall not be Uinding upon th\City, until <br />nccepted by 6he Supe� n ent of ' ta• Departpsen� <br />� i+ ./ // <br />