Laserfiche WebLink
-�--� . _ _ _ <br />� <br />. <br /> � <br /> � , _. . , ;, -,� -� ,.: <br /> V:. G. konn 1 159( ��-17 C.F <br /> CITV 0� EVERETT==Water DeRartment <br /> Ap�alacatior� for Wat�er <br /> All blanks must bc 611ed in or crossed aut <br />� E��erMt._______'_____/1/�_�__.______191 -C--- <br /> '1'O TI�1L SUFIiRIN1'ENDIiN7'OF'PHti NA7'ER UEPAKTMGNT, <br />/� CI1'Y OF G`/ER6TT: <br />. I hereby apply for die usc of water in acenrdance wiUi Ihe ndes and regul�� <br /> liuns u(The Nater Departm=nt. (ar purposes and fixtw�es stated bclo�v. <br />� Uuring Ihe time that :my ot the water mains maq ne talcen up hy reason of <br /> nny impruvemenls aulhorized by the Citv o( Gcerett,in nr o( any s�rcet ar alley in <br />� �ehich Utry maY h:rve becn laid. the City will nol be required tu furnish water durinF <br /> the prngre,x o(such improvements lo any consumer w'huce supply may thus be rut <br /> nf(.ur be liable (ur:my d:un':�ges fur its failm'c su tu du. <br /> I Applicntiun Nn."____�"_'��"__"__" ` <br />� Block ._�z�-_ .-_._.I.oL___�___..___Add_ .._. <br /> . ._. ._ _. .... , <br /> No...-__. ��!� 9... �!�C�--�.'____._'.__..Sireel : <br /> .____ ...____ . _.______'._ .___ . ____""__'____'___.__ <br /> ,{�/T '/_/�� <br />�� ����fhe work to bc executed bY____'.��_!____D.-��__._ .__ Plumber <br />' State size uf t:�p. <br />�I _�,2�'�_'Cap to Uc inscrted in Ihe main. . .. . <br /> 0 <br /> _Naler closet %' <br />, - , g <br /> I� _ u:�m �� � .. � � <br /> _ .urinal '� . �� . <br /> i� '.-_.Plain (aumt inside i�.. ��/+\. �'' �.�.� , <br /> �, ��_ <br /> �____ ' e ! .. �1 '.0 ' n `c' � �, <br /> _ _..____Sidc walk �vasher ��1�` ,� . Y� �C`s.�i' <br /> _____..._Flosebibnutside t�\ 1\ c�J ��.:` 'r`rl,' <br /> t ' r <br /> I ._____..__Hosebib (orbuildinKDurpnses i. . V6 �_:•,�� :. .��� <br /> , �� <br /> .___.___.Hosc 6ib insidc '• - _ .. . �=j <br /> _"______i3ib(m�stablecon�ainin6.............slall__.__._' �. .�. _ <br /> ___ ___Numhcrof persuns in (amily <br /> __�____Numher o( roums in 6uilding <br /> '1'he Premiaes are tu be used as:�_.._-.-_______________________ <br /> The nwner o(tite premises is __'_'____'_'"'___.___._'_"'_ <br /> ThcaKentis. ___.__._..__. ___.___._____ ._.__ .___.'__'_. <br /> 'Phis npplica[ion, nithnuAh signed.shall nul be binding upon the CiIY, nntil ac <br /> cepted by'Che Superinlendent u(th/e��Vuter Ucparu � r <br /> Siqned .___'_��G� /rt��–'Ri��% `—_.APplicant <br /> "y <br /> Acrepled.��r��_._-1!I7� l�i..f�'_____._. . <br /> / � _.�,eeimen:en <br /> �i.._, i_ . . . .� � <br />