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2117 BAKER AVE 2016-01-01 MF Import
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2117 BAKER AVE 2016-01-01 MF Import
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Last modified
1/23/2017 11:17:22 AM
Creation date
1/23/2017 11:17:07 AM
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Address Document
Street Name
BAKER AVE
Street Number
2117
Imported From Microfiche
Yes
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.r I <br /> _ � � i�. � �1ti zs �� .� .�w_.��- 7-- � ._ ,,, <br /> 11 b.l',�nnl �Gen- 41P.('o.—fi�:r.!! <br /> City of Everett—�Water Department <br /> APPLICAT'ION FOR WATER <br /> All l�lnnks nust 6e filled in or crassed oul <br /> - I l <br /> li��m�ell........._. ._.. . .Y...._._...._.........192..� <br /> ...._.............. <br /> TO TII1: SUI'I:BINI�ENUF:VT OP TIIR 11'rV'Pl�:ii UIiPAItTDIGi�'I': <br /> CITY OF �;�'IiItI:TT: <br /> I LereLy upply tnr Ihe use of �cnt�m in n�•errdnnce n'ilh the rules m�d regu- <br /> Intinns uf thc R'nter llc r�r.menl, for pm�po.ars ond fixiures etntrJ Loluw. <br /> Dw�ing lhc lime t�mt any of lhc x•nier mnins mny be laken up by renam� <br /> of nnY Im n�uvrmeuls nut'a�rizrd by lhr ('ity ot h:crrett, in or o[ nny atrcet m• <br /> •illey in �e�iirh Ihey mny hn�'e been Inid, thc City will nut bc required to furmsh <br /> �c:der durin{; lh� progres�a �f auch i�,•procem��ntv Lo nny ennKumer whuse nuPPly <br /> mnY thua Li• eut otf, on c� linblc fur :my dnmuRas Cur ils fnilurc au lo do. <br /> c� .� <br /> Applicntinn Na ...// . J.�.._...._.. � <br /> I � ' <br /> ❑luck 11 .._. tot. .. .. - . .. Add,�.�...<....c,.�. .....,.t .,-<. -�. <br /> _ � (y � <br /> Nn..__ . . 02 �. / 7.. . . �d:dL-1'C-��1-�__. __Blreet / <br /> ._. .__..__.. . . . ....._. .. . ._._ . __..... . . _._... .�_...'..r✓ <br /> T� <br /> Thr ��'urk lo bc cxeruted by. � . � . ll PlutnLer <br /> �,y � <br /> Sl te size ot tap. <br /> � n V� <br /> . .17�......Tnp to he in�crted in lhe muin. � <br /> _.......�_....{5'n�rr rloset 1 d <br /> .....�.........ltnt h <br /> . ..__........Uriuul <br /> . . �.._.....Ph�in fcr�cet insidc ,-�.�✓ <br /> .. ._.......°ide wnik a�n;hrr <br /> .. ...........]lovc bib ocL�.ide <br /> . . _........11nse bib Crr Luil,ting Purp��srs � <br /> . ._..._....Ilasu Uib insWc <br /> .__...__....IIiL for stnl lc cnntnining....._.............stnll...._._....._... <br /> .. �d.^......I�umb.r uf peraons in fnmily <br /> ..._....Kumbcr of rooms in building n � •" � ' � ,, <br /> 7he premises nrc tu be used ns n_... . , IC��.i.-•a.-+.�.r—�•-� p <br /> 7hc owner of the prcipie�g is_. C_ �� ��nf. o ..xn �,r-,o..._.;1.,. <br /> � / ' � <br /> 1'hc aBent in ...._. _.. ._. .. ... . . ..._ . ....... <br /> � in npplicnLnn. pl iuv6 aignr , -hnl no') ��g upo lhe Cily, unUl <br /> �I by lhc Superi� it ot e�1'n'. ��t �i I <br /> 1 � <br /> Signed.... . j.,_.. .. .. � Yi � c,�V . . . .....,PPlicnnt <br /> . � ..rl��_ .1G2,5. P ''. ��.. � � _........ <br /> � L/,� ,. er' erRlent � � <br />
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