Laserfiche WebLink
f . . ��.. <br />� <br />� <br /> I <br /> iy <br /> \ <br /> 1 <br />� <br /> ( y 1 -l. ' Ow.� . .V t�^�S'��7 IrTI-i� <br /> � I I r,c1_-�-� Ir 1. �� . ..M.n„rKK., <br /> \V.D.Porm J. .15110—F..P.Cu.—G:G-21 <br /> City of Everett�Water Department , <br /> APPLICATION FOR. �ATER � <br /> All Ulanl:s musL bc fillad in or cruss^d out � <br /> I:eerett,......_........_......._....._�.._ ..../.5..........._......1g?7 . I� <br /> TO TIII�; SUI'I:1:IN7'Iitilll;V'L' OR THP•. AV:1TP:P. DGPAR'PiliF.NT: � � <br /> CITY OR C��F.RI'sTT; � <br /> I hereby ap�ily for the use of �a��ter in :iccm•dmtce n'ith the tvles nnd 7egu� <br /> Intions of ihc 1Vntcr llepartment, Sor pmpuses nnd fis;ures stnted bclotv. <br /> During the time thut any of thc �vatcr meirs may be taken up Uy reason <br /> of any improvements ziuLharized by the City of Pccrett, iu or of any eteut. m� � <br /> allcy in which they may hx��c hcen lnid, the Ciry �eili not 6c requimd to furni�:h � <br /> a•ater during lhe progress of such improvements to any consum�r tvhose su�iply i <br /> m::y thus be cut off, ar be liable fm• any d•amuges for ite failure so to do. . <br /> Anplicution No......._!�-.�O,Z •.__...� 7�Q0 J <br /> [31�,ck/...� ._.. ._ Lot ...��.J..... ",, p_ _ ,,'��i.�0-f ce�'� 'ti <br />� �.� 'Z�.-.� /1 72c/l..A-�. 0-,1 -h.!-cy�i. ",Jtf!�t .; <br /> . '.J h_41- .�.4!^ ...�.. (/ . __.. .... . ... ._..... �,� <br /> '1'he u�ork to be executed by . ._ . . __. _. .._......._ _..Plumber i <br /> Statc �izc of tnp. � �_�-��'�Kf-� � 39j7�� . <br /> ....L.I�...._.Tap to Ue inserted in the mnin. ��D " �/ ��.�' � <br /> ,-- - - -...R'ai.cr closet �N' r <br /> —.__.._--..Bach C� �� <br /> .........�. <br /> Urinal p� <br /> ��. <br /> ................Plnin fnuce! i�iside .��'" . <br /> _.. .....Side walk wnshcr pr� � ,:�� <br /> :..-..::.......Hose Uib out�ide ' • <br /> ...._..........Hosc Ui6 for Uuilding purposrs . <br /> -- <br /> _. .........._IIose biU side <br /> ...._......._.BiU "�� sh.ibie cunt•iining...................stnll......._........... <br /> ................Nur uf pcismis in family <br /> ................Num of r�.nms in builc ' � � `�,,I <br /> �'b^ premise.; a to bc used ns n._.._. .. .. ..J..���_. <br /> . ..... .......... <br /> . .......... ....�.... <br /> ,u�ner of ; •c prer.�ises is...........__._......__..__. __............................._......_...... <br /> �nt is.. ................._.................._........._ . .. <br /> ._...__....__......................................... <br /> •.plication, nithough signed, shnll not l�,e binding upon the City, until <br /> thc Sup�rintendcnt uf the \1'ater Depnrtment. <br /> Signed. . _... ............ ...... . �/' � APPlicant <br /> .lecepled (Q_[:�./�r�. _ -1D2� B} � QL/�y/�, <br /> avu rmteulent <br /> J <br />