Laserfiche WebLink
i 0 I - ICI_ I,.. <br />W. D. Form 5-1660—E.P.eo.-6.26.2E <br />City of Everett -Water Department <br />APPLICATION FOR WATER <br />All blanks must be filled in or crossed out <br />Everett ........ ......2...1...�./.3- .�....._.._.........192...... <br />Tu THE SUPERINTENDENT OF TILE WATER DEPARTMENT: <br />CITY OF EVERETT: <br />I hereby apply for the use of water in accordance with the rules and regu- <br />lations of the Water Department, for purposes and fixtures stated below. <br />During the time that any of the water mains may be taken up by reason <br />of any improvements authorized by the City of Everett, in or of any street or <br />alley in which they may have been laid, the City will not be required to furnish <br />water during the progress of such improvements to any consumer whose supply <br />may thus be cut off, or be liable for any damages for its failure so to do. <br />Application No ..... 6..�.c.................. <br />Block ............... �7.5?......:... Lot .......... LV ................... Add......... <br />............ �..1 <br />No......... .. �... .... .._' ...Z..`./................ .................. Street <br />The work to be executed by <br />State ize of tap. <br />..Tap to be inserted in the main. I <br />..............Water closet <br />---........... Bath <br />.......`_... Urinal <br />-....?........ Plain faucet inside <br />-.....-.'....... Side walk washer <br />.....,........Hose bib outside <br />...... ......Hose bib for building purposes <br />........ Hose bib inside <br />.....^..........Bib for stable containing....................stall.................... <br />,,...—......Number of persons in family <br />.............Number of rooms in building // <br />T e premises are to be used as a........ ... ^-r--Vie'••••••---• - <br />The owner of the premises is...r�c .. .. ..-.,F---.--•-•••-----•--• <br />Theagent is ..... ............ ..............._/......................................................................_........... <br />This application, although signed, shall not be binding upon the City, until <br />accepted by the Superintendent <br />joof� the Water Department. <br />10 Signcd...... a. ..50....... �.:.•.'l/.//��...................... .....Ap licant <br />Accepted...✓ .... .. ant <br />